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General NPI Number Information
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NPI Number | 1225150899
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Entity Type | Individual
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Provider Name | DOROTHY ROBISON COLLINS OD
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Gender | Female
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Dates
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Enumeration Date | 04/04/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 282 MAIN STREET EXT
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City | MIDDLETOWN
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State | CT
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Zip | 06457-4467
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Country | US
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Telephone | 860-346-2020
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Fax | 860-346-9232
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Provider Business Mailing Address
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Address Line | 45 WESTBROOK HEIGHTS RD
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City | WESTBROOK
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State | CT
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Zip | 06498-1957
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Country | US
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Telephone | 860-399-6197
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 2168
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License Number State | CT
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