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General NPI Number Information
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NPI Number | 1427946235
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Entity Type | Individual
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Provider Name | GARY S. COLLINS PHD
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Gender |
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Dates
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Enumeration Date | 06/27/2025
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Last Update Date | 06/27/2025
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Provider Practice Location Address
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Address Line | 3157 FARNAM ST APT 7421
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City | OMAHA
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State | NE
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Zip | 68131-3545
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Country | US
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Telephone | 256-393-3345
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Fax |
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Provider Business Mailing Address
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Address Line | 2020 N 72ND ST
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City | OMAHA
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State | NE
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Zip | 68134-7002
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Country | US
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Telephone | 402-213-4222
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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 | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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