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General NPI Number Information
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NPI Number | 1972215713
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Entity Type | Organization
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Legal Business Name | COLLINS PHYSICAL THERAPY, PLLC
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Dates
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Enumeration Date | 12/22/2022
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Last Update Date | 12/13/2023
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Provider Practice Location Address
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Address Line | 36 W 44TH ST STE 302B
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City | NEW YORK
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State | NY
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Zip | 10036-8105
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Country | US
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Telephone | 631-241-3698
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Fax | 212-391-8360
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Provider Business Mailing Address
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Address Line | 158 CEDAR ST
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City | EAST HAMPTON
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State | NY
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Zip | 11937-5202
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Country | US
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Telephone | 631-241-3698
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | WILLIAM COLLINS
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Credential |
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Telephone | 631-241-3698
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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