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General NPI Number Information
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NPI Number | 1831952068
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Entity Type | Individual
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Provider Name | TRACEY LYNN COLLETT ATC
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Gender | Female
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Dates
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Enumeration Date | 01/31/2024
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Last Update Date | 01/31/2024
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Provider Practice Location Address
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Address Line | 4501 ONONDAGA BLVD
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City | SYRACUSE
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State | NY
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Zip | 13219-3391
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Country | US
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Telephone | 315-426-3100
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Fax |
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Provider Business Mailing Address
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Address Line | 4879 HILLOCK MEADOWS DR
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City | SYRACUSE
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State | NY
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Zip | 13215-9305
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Country | US
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Telephone | 315-546-4037
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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 | 001170
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License Number State | NY
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