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General NPI Number Information
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NPI Number | 1326278987
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Entity Type | Individual
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Provider Name | SETH WHITNEY COLLINS PA-C
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Gender | Male
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Dates
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Enumeration Date | 07/16/2009
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 85 SEYMOUR ST STE 200
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City | HARTFORD
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State | CT
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Zip | 06106-5509
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Country | US
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Telephone | 860-246-6589
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Fax |
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Provider Business Mailing Address
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Address Line | 111 FOUNDERS PLZ STE 400
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City | EAST HARTFORD
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State | CT
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Zip | 06108-3240
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Country | US
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Telephone | 860-289-3375
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Fax | 860-783-5733
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA3795
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 002448
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License Number State | CT
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