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General NPI Number Information
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NPI Number | 1346711181
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Entity Type | Organization
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Legal Business Name | COLLINS FAMILY SERVICES, PLLC
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Dates
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Enumeration Date | 12/05/2018
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Last Update Date | 12/05/2018
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Provider Practice Location Address
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Address Line | 301 W SEARCY ST
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City | HEBER SPRINGS
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State | AR
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Zip | 72543-3840
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Country | US
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Telephone | 501-270-4011
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Fax | 501-207-0436
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Provider Business Mailing Address
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Address Line | 301 W SEARCY ST
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City | HEBER SPRINGS
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State | AR
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Zip | 72543-3840
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Country | US
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Telephone | 501-270-4011
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Fax | 501-207-0436
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Authorized Official
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Title or Position | MANAGER
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Name | MRS. SKY MARIE COLLINS
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Credential | LMSW
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Telephone | 501-270-4011
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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