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General NPI Number Information
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NPI Number | 1437361771
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Entity Type | Individual
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Provider Name | PAUL STEPHEN COLLINS M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/07/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 84 SANTA ROSA ST
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93405-1812
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Country | US
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Telephone | 805-543-5052
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Fax | 805-543-1639
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Provider Business Mailing Address
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Address Line | 84 SANTA ROSA ST
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93405-1812
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Country | US
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Telephone | 805-543-5052
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Fax | 805-543-1639
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | C42368
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207ND0900X
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Taxonomy Name | Dermatopathology Physician
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License Number | C42368
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207NS0135X
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Taxonomy Name | Procedural Dermatology Physician
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License Number | C42368
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License Number State | CA
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