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General NPI Number Information
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NPI Number | 1629477302
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Entity Type | Individual
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Provider Name | COLTON JOSEPH OMLER PT, DPT, M.ED
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Gender | Male
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Dates
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Enumeration Date | 08/19/2014
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Last Update Date | 06/19/2019
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Provider Practice Location Address
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Address Line | 300 NORTH AVE
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City | BATTLE CREEK
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State | MI
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Zip | 49017-3307
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Country | US
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Telephone | 269-245-8125
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Fax | 269-245-8123
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Provider Business Mailing Address
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Address Line | 300 NORTH AVE
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City | BATTLE CREEK
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State | MI
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Zip | 49017-3307
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Country | US
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Telephone | 269-245-8125
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Fax | 269-245-8123
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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 | PT.013356
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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 | 10829PT
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 5501016047
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License Number State | MI
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