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General NPI Number Information
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NPI Number | 1982606695
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Entity Type | Individual
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Provider Name | JANET L COLLIER O.D.
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Gender | Female
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Dates
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Enumeration Date | 08/12/2005
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Last Update Date | 11/22/2017
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Provider Practice Location Address
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Address Line | 730 S KIRKWOOD RD
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City | KIRKWOOD
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State | MO
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Zip | 63122-5929
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Country | US
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Telephone | 314-821-2626
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Fax |
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Provider Business Mailing Address
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Address Line | 15933 CLAYTON RD STE 201
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City | BALLWIN
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State | MO
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Zip | 63011-2172
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Country | US
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Telephone | 636-200-4393
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Fax | 636-938-2650
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | T03317
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License Number State | MO
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