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General NPI Number Information
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NPI Number | 1497719157
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Entity Type | Individual
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Provider Name | BRENT CLAUDE COLLINS OD
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Gender | Male
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Dates
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Enumeration Date | 04/12/2006
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 532 HAYWOOD ROAD
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City | GREENVILLE
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State | SC
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Zip | 29607
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Country | US
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Telephone | 864-288-7445
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Fax | 864-288-8288
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Provider Business Mailing Address
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Address Line | 532 HAYWOOD ROAD
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City | GREENVILLE
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State | SC
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Zip | 29607
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Country | US
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Telephone | 864-288-7445
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Fax | 864-288-8288
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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 | 1156
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | SC-1142
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License Number State | SC
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