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General NPI Number Information
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NPI Number | 1144373705
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Entity Type | Individual
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Provider Name | EDWARD MICHAEL COLLINS APN
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Gender | Male
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 07/20/2024
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Provider Practice Location Address
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Address Line | 2550 SAMARITAN DR STE 121
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City | LAS CRUCES
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State | NM
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Zip | 88001-1170
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Country | US
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Telephone | 575-522-7247
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Fax |
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Provider Business Mailing Address
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Address Line | 3113 MOONLIGHT RIDGE ARC
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City | LAS CRUCES
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State | NM
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Zip | 88011-1639
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Country | US
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Telephone | 201-406-8786
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 76576
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 163WE0003X
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Taxonomy Name | Emergency Registered Nurse
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License Number | 26NO111105
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 26NJ00128900
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License Number State | NJ
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