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NPI 1154064459

NPI 1154064459 : STEVEN ISAMU COLLINS DO : GILBERT, AZ

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General NPI Number Information
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    NPI Number           |    1154064459
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    Entity Type          |    Individual 
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    Provider Name        |    STEVEN ISAMU COLLINS DO
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/15/2022
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    Last Update Date     |    10/08/2025
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Provider Practice Location Address
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    Address Line         |    1900 N HIGLEY ROAD ATTN BMG HOSPITALIST TEAM/AMANDA GUMP
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    City                 |    GILBERT
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    State                |    AZ
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    Zip                  |    85234
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    Country              |    US
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    Telephone            |    480-543-2034
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    Fax                  |    480-543-2647
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Provider Business Mailing Address
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    Address Line         |    1900 N HIGLEY ROAD ATTN BMG HOSPITALIST TEAM/AMANDA GUMP
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    City                 |    GILBERT
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    State                |    AZ
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    Zip                  |    85234
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    Country              |    US
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    Telephone            |    480-543-2034
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    Fax                  |    480-543-2647
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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        |    208M00000X
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    Taxonomy Name        |    Hospitalist Physician
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    License Number       |    011789
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    License Number State |    AZ
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Taxonomy #2
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    PG211304
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    License Number State |    OR
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Taxonomy #3
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    Taxonomy Code        |    208D00000X
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    Taxonomy Name        |    General Practice Physician
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    License Number       |    DO223662
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    License Number State |    OR
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Taxonomy #4
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    011789
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    License Number State |    AZ
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