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General NPI Number Information
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NPI Number | 1316363518
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Entity Type | Individual
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Provider Name | TARA COLLINS
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Gender | Female
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Dates
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Enumeration Date | 03/12/2014
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 2550 ROUTE 100 STE 100
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City | MACUNGIE
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State | PA
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Zip | 18062-9600
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Country | US
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Telephone | 844-426-2513
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Fax | 484-426-2563
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Provider Business Mailing Address
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Address Line | 801 OSTRUM ST
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City | BETHLEHEM
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State | PA
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Zip | 18015-1000
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Country | US
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Telephone | 484-526-6048
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Fax | 484-526-6500
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | SP013229
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License Number State | PA
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