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General NPI Number Information
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NPI Number | 1194194050
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Entity Type | Organization
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Legal Business Name | COLLINS INC.
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Dates
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Enumeration Date | 09/22/2015
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Last Update Date | 09/22/2015
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Provider Practice Location Address
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Address Line | 325 A. STREET SUITE 1
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City | ASHLAND
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State | OR
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Zip | 97520
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Country | US
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Telephone | 541-482-1650
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Fax | 541-482-4003
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Provider Business Mailing Address
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Address Line | 325 A. STREET SUITE 1
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City | ASHLAND
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State | OR
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Zip | 97520
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Country | US
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Telephone | 541-482-1650
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Fax | 541-482-4003
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Authorized Official
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Title or Position | ACUPUNCTURIST
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Name | JENN COLLINS
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Credential | L. AC.
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Telephone | 541-482-1650
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC00730
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License Number State | OR
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