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General NPI Number Information
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NPI Number | 1174726236
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Entity Type | Individual
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Provider Name | GERARD A COLLINS DPM
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Gender | Male
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Dates
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Enumeration Date | 06/07/2007
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Last Update Date | 11/11/2025
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Provider Practice Location Address
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Address Line | 1001 ROUTE 73 N LOWR LEVEL
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City | MARLTON
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State | NJ
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Zip | 08053-4524
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Country | US
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Telephone | 856-548-7634
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Fax | 856-355-7127
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Provider Business Mailing Address
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Address Line | 301 LIPPINCOTT DR STE 410
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City | MARLTON
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State | NJ
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Zip | 08053-4197
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Country | US
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Telephone | 856-548-7634
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Fax | 856-355-7127
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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 | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | 25MD00289900
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License Number State | NJ
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