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General NPI Number Information
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NPI Number | 1578449534
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Entity Type | Individual
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Provider Name | ENYA OHLENSCHLAGER VAN COLLER DPT
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Gender | Female
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Dates
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Enumeration Date | 08/14/2025
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | 200 SOUTHPARK BLVD STE 201
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City | ST AUGUSTINE
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State | FL
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Zip | 32086-3129
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Country | US
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Telephone | 904-417-6236
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Fax |
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Provider Business Mailing Address
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Address Line | 571 BAY LAUREL DR APT 53024
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City | ST AUGUSTINE
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State | FL
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Zip | 32084-0213
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Country | US
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Telephone | 651-302-2268
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Fax |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT14027
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT43237
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License Number State | FL
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