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General NPI Number Information
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NPI Number | 1467599670
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Entity Type | Individual
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Provider Name | KEVIN J COLLINS MD
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Gender | Male
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 01/22/2008
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Provider Practice Location Address
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Address Line | 870 111TH AVE N SUITE 3
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City | NAPLES
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State | FL
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Zip | 34108-1869
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Country | US
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Telephone | 239-597-0190
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Fax | 239-597-7312
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Provider Business Mailing Address
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Address Line | 870 111TH AVE N SUITE 3
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City | NAPLES
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State | FL
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Zip | 34108-1869
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Country | US
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Telephone | 239-597-0190
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Fax | 239-597-7312
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | ME0059514
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License Number State | FL
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