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General NPI Number Information
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NPI Number | 1023208295
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Entity Type | Individual
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Provider Name | MARGARET A COLLINS M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/25/2007
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Last Update Date | 10/02/2013
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Provider Practice Location Address
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Address Line | 3555 WILLOW LAKE BLVD SUITE 240
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City | VADNAIS HEIGHTS
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State | MN
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Zip | 55110-5131
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Country | US
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Telephone | 651-770-0110
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Fax | 651-770-0134
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Provider Business Mailing Address
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Address Line | 3555 WILLOW LAKE BLVD SUITE 240
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City | SAINT PAUL
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State | MN
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Zip | 55110-5131
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Country | US
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Telephone | 651-770-0110
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Fax | 651-770-0134
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 52763
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License Number State | MN
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