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General NPI Number Information
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NPI Number | 1104587609
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Entity Type | Organization
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Legal Business Name | COLLIER FAMILY MEDICAL, PLLC
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Dates
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Enumeration Date | 01/06/2022
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Last Update Date | 01/06/2022
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Provider Practice Location Address
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Address Line | 1220 N FLINT. ST.
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City | LINCOLNTON
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State | NC
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Zip | 28092
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Country | US
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Telephone | 704-240-5260
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Fax | 704-703-6607
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Provider Business Mailing Address
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Address Line | 1220 N FLINT. ST.
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City | LINCOLNTON
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State | NC
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Zip | 28092
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Country | US
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Telephone | 704-240-5260
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Fax | 704-703-6607
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Authorized Official
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Title or Position | FNP/OWNER
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Name | AMANDA KAY COLLIER
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Credential | FNP-C
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Telephone | 704-240-5260
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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 |
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License Number State |
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