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General NPI Number Information
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NPI Number | 1841175882
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Entity Type | Individual
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Provider Name | COLLIN MABERRY PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 08/08/2025
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Last Update Date | 08/08/2025
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Provider Practice Location Address
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Address Line | 7 MARSH BROOK DR
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City | SOMERSWORTH
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State | NH
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Zip | 03878-6523
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Country | US
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Telephone | 603-749-6686
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Fax |
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Provider Business Mailing Address
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Address Line | 22 S MAIN ST UNIT 202
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City | ROCHESTER
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State | NH
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Zip | 03867-2754
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Country | US
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Telephone | 661-717-9561
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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 | 6117
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License Number State | NH
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