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General NPI Number Information
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NPI Number | 1265641245
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Entity Type | Individual
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Provider Name | MARGARET OLIVE COLLINS R.PH.
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Gender | Female
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 112 E 7TH AVE
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City | HAVANA
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State | FL
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Zip | 32333-1620
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Country | US
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Telephone | 850-539-8080
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Fax | 850-539-3050
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Provider Business Mailing Address
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Address Line | 306 E 5TH AVE
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City | HAVANA
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State | FL
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Zip | 32333-1438
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Country | US
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Telephone | 850-567-9621
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS18722
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License Number State | FL
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