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NPI 1427007889

NPI 1427007889 : HARRIET S COLLINS RN, CDE : CLINTON, IA

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General NPI Number Information
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    NPI Number           |    1427007889
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    Entity Type          |    Individual 
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    Provider Name        |    HARRIET S COLLINS RN, CDE
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/10/2006
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    Last Update Date     |    03/15/2013
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Provider Practice Location Address
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    Address Line         |    915 13TH AVE N 
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    City                 |    CLINTON
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    State                |    IA
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    Zip                  |    52732-5067
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    Country              |    US
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    Telephone            |    563-243-2511
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    Fax                  |    563-243-0817
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Provider Business Mailing Address
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    Address Line         |    915 13TH AVE N 
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    City                 |    CLINTON
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    State                |    IA
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    Zip                  |    52732-5067
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    Country              |    US
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    Telephone            |    563-243-2511
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    Fax                  |    563-243-0817
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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        |    163WD0400X
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    Taxonomy Name        |    Diabetes Educator Registered Nurse
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    License Number       |    044553
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    License Number State |    IA
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