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NPI 1114830445

NPI 1114830445 : ARIANNA COLLINS DA1 : GREENVILLE, NC

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General NPI Number Information
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    NPI Number           |    1114830445
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    Entity Type          |    Individual 
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    Provider Name        |    ARIANNA COLLINS DA1
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/26/2026
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    Last Update Date     |    09/26/2026
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Provider Practice Location Address
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    Address Line         |    1701 SE GREENVILLE BLVD 
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    City                 |    GREENVILLE
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    State                |    NC
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    Zip                  |    27858-4811
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    Country              |    US
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    Telephone            |    252-375-8755
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1000 FOWLER DR UNIT B 
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    City                 |    GREENVILLE
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    State                |    NC
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    Zip                  |    27834-3345
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    Country              |    US
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    Telephone            |    336-469-6190
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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        |    126800000X
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    Taxonomy Name        |    Dental Assistant
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    License Number       |    
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    License Number State |    NC
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