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General NPI Number Information
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NPI Number | 1336224732
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Entity Type | Individual
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Provider Name | MICHAEL BYRON COLLINS D.C.
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Gender | Male
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 01/14/2008
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Provider Practice Location Address
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Address Line | 1451 E WILLIAMS FIELD RD SUITE 105
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City | GILBERT
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State | AZ
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Zip | 85295-1692
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Country | US
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Telephone | 480-598-0988
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Fax | 480-753-9611
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Provider Business Mailing Address
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Address Line | 1451 E WILLIAMS FIELD RD SUITE 105
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City | GILBERT
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State | AZ
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Zip | 85295-1692
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Country | US
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Telephone | 480-598-0988
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Fax | 480-753-9611
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 7177
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License Number State | AZ
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