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General NPI Number Information
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NPI Number | 1760911846
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Entity Type | Individual
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Provider Name | COLIN ONO-MOORE DPT
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Gender | Male
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Dates
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Enumeration Date | 06/12/2017
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Last Update Date | 02/20/2019
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Provider Practice Location Address
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Address Line | 3 RISING SUN CT
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City | HENDERSON
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State | NV
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Zip | 89074
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Country | US
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Telephone | 702-263-6514
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Fax |
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Provider Business Mailing Address
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Address Line | 3 RISING SUN CT
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City | HENDERSON
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State | NV
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Zip | 89074-6128
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Country | US
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Telephone | 707-888-4295
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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 | 3248
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License Number State | NV
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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 | 295665
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License Number State | CA
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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 | 2015040158
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License Number State | MO
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