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General NPI Number Information
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NPI Number | 1194453472
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Entity Type | Individual
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Provider Name | NEIL S COLLINS LMFT
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Gender | Male
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Dates
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Enumeration Date | 08/12/2022
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Last Update Date | 08/12/2022
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Provider Practice Location Address
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Address Line | 12898 TOWNE CENTER DR
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City | CERRITOS
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State | CA
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Zip | 90703-8546
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Country | US
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Telephone | 657-222-7523
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Fax |
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Provider Business Mailing Address
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Address Line | 4524 E 3RD ST
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City | LONG BEACH
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State | CA
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Zip | 90814-3049
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Country | US
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Telephone | 156-247-7738
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFT37035
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License Number State | CA
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