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General NPI Number Information
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NPI Number | 1306642152
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Entity Type | Individual
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Provider Name | JOHN D COLLIER APRN, FNP
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Gender | Male
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Dates
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Enumeration Date | 02/21/2025
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Last Update Date | 02/17/2026
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Provider Practice Location Address
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Address Line | 616 S MAIN ST
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City | LEXINGTON
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State | TN
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Zip | 38351-2402
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Country | US
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Telephone | 731-616-2205
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Fax |
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Provider Business Mailing Address
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Address Line | 616 S MAIN ST
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City | LEXINGTON
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State | TN
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Zip | 38351-2402
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Country | US
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Telephone | 731-616-2205
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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 | 163WH0500X
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Taxonomy Name | Hemodialysis Registered Nurse
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License Number | 162023
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 38395
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License Number State | TN
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