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General NPI Number Information
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NPI Number | 1861518417
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Entity Type | Individual
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Provider Name | BRYAN JOHN COLLIER D.C.
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Gender | Male
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 11/29/2007
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Provider Practice Location Address
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Address Line | 300 E 56TH ST
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City | NEW YORK
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State | NY
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Zip | 10022-4136
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Country | US
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Telephone | 212-688-2016
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Fax | 212-753-9856
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Provider Business Mailing Address
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Address Line | 300 E 56TH ST
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City | NEW YORK
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State | NY
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Zip | 10022-4136
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Country | US
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Telephone | 212-688-2016
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Fax | 212-753-9856
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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 | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | 2332
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License Number State | NY
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