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General NPI Number Information
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NPI Number | 1700126844
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Entity Type | Individual
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Provider Name | ANGELA MARIE COLLINS VAL PT
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Gender | Female
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Dates
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Enumeration Date | 02/27/2013
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Last Update Date | 02/27/2013
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Provider Practice Location Address
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Address Line | 848 1ST AVE N SUITE 120
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City | NAPLES
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State | FL
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Zip | 34102-6013
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Country | US
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Telephone | 239-384-5952
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Fax | 239-384-5970
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Provider Business Mailing Address
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Address Line | 848 1ST AVE N SUITE 120
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City | NAPLES
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State | FL
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Zip | 34102-6013
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Country | US
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Telephone | 239-384-5952
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Fax | 239-384-5970
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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 | PT3016
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License Number State | FL
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