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General NPI Number Information
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NPI Number | 1114550415
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Entity Type | Individual
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Provider Name | ERICA MARIE COLLINS FNP
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Gender | Female
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Dates
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Enumeration Date | 02/15/2020
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 28315 NY 206
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City | DOWNSVILLE
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State | NY
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Zip | 13755
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Country | US
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Telephone | 607-363-2517
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Fax |
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Provider Business Mailing Address
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Address Line | 2 TITUS PLACE
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City | WALTON
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State | NY
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Zip | 13856-1455
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Country | US
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Telephone | 607-865-2400
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Fax | 607-865-7305
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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 | 104763
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License Number State | WV
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