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General NPI Number Information
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NPI Number | 1619044989
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Entity Type | Individual
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Provider Name | JASON KYLE COLBERG DPT
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Gender | Male
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 12/13/2013
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Provider Practice Location Address
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Address Line | 1822 N MAIN ST
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City | FALL RIVER
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State | MA
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Zip | 02720
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Country | US
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Telephone | 508-678-1425
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Fax | 508-678-1496
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Provider Business Mailing Address
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Address Line | 125 CHURCH POND DR
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City | TIVERTON
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State | RI
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Zip | 02878-4449
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Country | US
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Telephone | 401-624-3503
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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 | PT01932
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License Number State | RI
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