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General NPI Number Information
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NPI Number | 1467476986
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Entity Type | Individual
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Provider Name | TIMOTHY ERVIN COLLINS DDS
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Gender | Male
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 12/26/2019
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Provider Practice Location Address
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Address Line | 616 CAMPUS DRIVE STE 100
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City | ABINGDON
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State | VA
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Zip | 24210
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Country | US
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Telephone | 276-619-5020
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Fax | 276-619-5100
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Provider Business Mailing Address
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Address Line | PO BOX 2346
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City | ABINGDON
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State | VA
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Zip | 24212-2346
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Country | US
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Telephone | 276-608-8608
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Fax | 276-619-5100
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 0401007964
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License Number State | VA
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