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General NPI Number Information
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NPI Number | 1588270268
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Entity Type | Individual
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Provider Name | BROOKE SANDERS COLLINS PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 09/18/2020
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Last Update Date | 11/19/2025
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Provider Practice Location Address
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Address Line | 463646 STATE ROAD 200 STE 4
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City | YULEE
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State | FL
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Zip | 32097-0303
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Country | US
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Telephone | 904-261-4414
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Fax | 904-261-4614
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Provider Business Mailing Address
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Address Line | 1200 CORPORATE DR STE 400
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City | HOOVER
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State | AL
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Zip | 35242-5424
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Country | US
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Telephone | 423-238-7217
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Fax | 423-238-3473
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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 | PT37005
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License Number State | FL
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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 | PT014775
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License Number State | GA
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