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General NPI Number Information
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NPI Number | 1619427762
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Entity Type | Individual
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Provider Name | COLIN PRESCOTT-SMITH PT,DPT, AT
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Gender | Male
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Dates
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Enumeration Date | 10/12/2016
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Last Update Date | 01/28/2025
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Provider Practice Location Address
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Address Line | 301 FISHER ST
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City | BILOXI
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State | MS
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Zip | 39534-2508
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Country | US
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Telephone | 228-376-3441
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Fax |
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Provider Business Mailing Address
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Address Line | 3117 SYDNEY ST
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City | OCEAN SPRINGS
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State | MS
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Zip | 39564-5534
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Country | US
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Telephone |
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | AT005898
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License Number State | OH
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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 | PT020452
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License Number State | OH
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