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General NPI Number Information
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NPI Number | 1720634348
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Entity Type | Individual
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Provider Name | ALEX CAMDEN KOLB
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Gender | Male
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Dates
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Enumeration Date | 08/11/2019
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 8080 N HIGH ST
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City | COLUMBUS
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State | OH
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Zip | 43235-6477
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Country | US
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Telephone | 614-545-7914
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Fax | 614-827-8667
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Provider Business Mailing Address
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Address Line | 340 POLARIS PKWY
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City | WESTERVILLE
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State | OH
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Zip | 43082-7971
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Country | US
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Telephone | 614-545-7914
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Fax | 614-827-8667
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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 | AT006622
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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 | PT021601
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License Number State | OH
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