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General NPI Number Information
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NPI Number | 1326537549
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Entity Type | Organization
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Legal Business Name | JOSEPH COLLINS, DO, P.C.
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Dates
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Enumeration Date | 05/03/2018
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Last Update Date | 01/06/2020
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Provider Practice Location Address
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Address Line | 150 VIA MERIDA
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91362-3816
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Country | US
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Telephone | 805-370-4420
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Fax |
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Provider Business Mailing Address
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Address Line | 150 VIA MERIDA
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91362-3816
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Country | US
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Telephone | 805-222-0114
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Fax | 805-222-0528
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOSEPH COLLINS
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Credential | DO
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Telephone | 805-245-2848
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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