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General NPI Number Information
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NPI Number | 1548281124
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Entity Type | Individual
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Provider Name | ZACHARY V. COLLER M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/21/2006
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Last Update Date | 10/16/2014
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Provider Practice Location Address
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Address Line | 5002 CROSSINGS CIR SUITE 100
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City | MOUNT JULIET
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State | TN
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Zip | 37122-8471
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Country | US
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Telephone | 615-515-9111
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Fax | 615-758-3791
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Provider Business Mailing Address
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Address Line | 5002 CROSSINGS CIR SUITE 100
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City | MOUNT JULIET
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State | TN
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Zip | 37122-8471
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Country | US
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Telephone | 615-515-9111
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Fax | 615-758-3791
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 47831
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 47831
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License Number State | TN
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