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General NPI Number Information
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NPI Number | 1861041279
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Entity Type | Individual
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Provider Name | COLLIN SAMUEL RECORE ATC
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Gender | Male
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Dates
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Enumeration Date | 09/09/2019
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Last Update Date | 11/14/2025
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Provider Practice Location Address
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Address Line | 10263 FOURTH ARMORED DIVISION DR
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City | FORT DRUM
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State | NY
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Zip | 13602
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Country | US
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Telephone | 315-772-3524
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Fax |
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Provider Business Mailing Address
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Address Line | 26325 LANNER LN
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City | EVANS MILLS
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State | NY
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Zip | 13637-3606
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Country | US
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Telephone | 518-354-0872
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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 | 004301-01
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License Number State | NY
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