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General NPI Number Information
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NPI Number | 1104371822
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Entity Type | Individual
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Provider Name | BEVERLEY COLLINS
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Gender | Female
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Dates
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Enumeration Date | 08/23/2016
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Last Update Date | 05/19/2025
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Provider Practice Location Address
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Address Line | 6051 GARTH RD STE 1100
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City | BAYTOWN
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State | TX
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Zip | 77521-9892
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Country | US
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Telephone | 932-400-9249
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Fax |
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Provider Business Mailing Address
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Address Line | 9930 ANASTASIA TRL
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City | HOUSTON
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State | TX
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Zip | 77089-1562
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP131776
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License Number State | TX
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