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General NPI Number Information
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NPI Number | 1508418260
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Entity Type | Individual
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Provider Name | COLLIN DEES PA-C
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Gender | Male
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Dates
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Enumeration Date | 07/12/2019
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 502 S DALE MABRY HWY
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City | TAMPA
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State | FL
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Zip | 33609-3906
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Country | US
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Telephone | 813-203-2052
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Fax |
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Provider Business Mailing Address
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Address Line | 3746 112TH ST E
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City | PALMETTO
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State | FL
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Zip | 34221-2983
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Country | US
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Telephone |
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Fax |
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA2827
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA9115205
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 032887
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | MED-PAC-LIC-113639
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License Number State | MT
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Taxonomy #5
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 085.010788
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License Number State | IL
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