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General NPI Number Information
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NPI Number | 1346314135
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Entity Type | Individual
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Provider Name | JOHN J. COLLINS DC
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Gender | Male
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Dates
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Enumeration Date | 11/20/2006
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Last Update Date | 08/07/2012
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Provider Practice Location Address
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Address Line | 420 VILLA RD
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City | NEWBERG
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State | OR
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Zip | 97132-1882
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Country | US
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Telephone | 503-538-0619
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1022
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City | NEWBERG
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State | OR
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Zip | 97132-8022
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Country | US
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Telephone |
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 3010
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License Number State | OR
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