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NPI 1891144481

NPI 1891144481 : COLLEEN REECE : WESTMONT, NJ

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General NPI Number Information
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    NPI Number           |    1891144481
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    Entity Type          |    Individual 
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    Provider Name        |    COLLEEN REECE
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/06/2016
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    Last Update Date     |    06/06/2016
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Provider Practice Location Address
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    Address Line         |    52 ADDISON AVE 
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    City                 |    WESTMONT
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    State                |    NJ
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    Zip                  |    08108-2019
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    Country              |    US
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    Telephone            |    856-906-7311
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    52 ADDISON AVE 
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    City                 |    WESTMONT
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    State                |    NJ
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    Zip                  |    08108-2019
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    Country              |    US
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    Telephone            |    
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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        |    2278P1005X
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    Taxonomy Name        |    Pulmonary Rehabilitation Certified Respiratory Therapist
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    License Number       |    43A00565000
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    License Number State |    NJ
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