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General NPI Number Information
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NPI Number | 1265586069
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Entity Type | Individual
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Provider Name | DANIEL ROBERT COLLINS MD
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Gender | Male
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1175 NE 125TH ST SUITE 201
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City | NORTH MIAMI
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State | FL
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Zip | 33161-5008
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Country | US
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Telephone | 305-893-2671
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Fax | 954-963-3254
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Provider Business Mailing Address
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Address Line | 2400 N 35TH AVE
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City | HOLLYWOOD
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State | FL
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Zip | 33021-3601
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Country | US
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Telephone | 954-989-8590
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Fax | 954-963-3254
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ME0014335
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License Number State | FL
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