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General NPI Number Information
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NPI Number | 1467616383
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Entity Type | Individual
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Provider Name | SCOTT COLLINGS O.D.
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Gender | Male
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Dates
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Enumeration Date | 07/10/2008
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Last Update Date | 01/17/2023
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Provider Practice Location Address
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Address Line | 619 6TH AVE
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City | GRINNELL
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State | IA
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Zip | 50112-1942
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Country | US
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Telephone | 641-450-1041
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Fax | 641-236-0754
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Provider Business Mailing Address
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Address Line | 619 6TH AVE
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City | GRINNELL
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State | IA
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Zip | 50112-1942
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Country | US
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Telephone | 414-501-0416
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Fax | 641-236-0754
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 002426
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License Number State | IA
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