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General NPI Number Information
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NPI Number | 1396969747
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Entity Type | Individual
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Provider Name | KRISTI ROGERS COLLINS DMD
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Gender | Female
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Dates
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Enumeration Date | 04/13/2007
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 101 R L SAWYER MD DR
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City | SALUDA
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State | SC
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Zip | 29138-9199
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Country | US
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Telephone | 864-445-8168
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Fax | 864-445-2535
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Provider Business Mailing Address
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Address Line | PO BOX 309
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City | SALUDA
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State | SC
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Zip | 29138-0309
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Country | US
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Telephone | 864-445-8168
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Fax | 864-445-2535
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 3521
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License Number State | SC
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