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General NPI Number Information
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NPI Number | 1366694457
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Entity Type | Individual
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Provider Name | DEBORAH JEAN COLLINS PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 10/21/2008
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Last Update Date | 10/21/2008
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Provider Practice Location Address
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Address Line | 143 CADYCENTRE #335
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City | NORTHVILLE
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State | MI
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Zip | 48167-1119
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Country | US
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Telephone | 248-880-1713
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Fax |
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Provider Business Mailing Address
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Address Line | 143 CADYCENTRE #335
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City | NORTHVILLE
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State | MI
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Zip | 48167-1119
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Country | US
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Telephone | 248-880-1713
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 5302410926
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 12906
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License Number State | NC
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