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General NPI Number Information
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NPI Number | 1518154590
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Entity Type | Organization
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Legal Business Name | MICHAEL R. COLLINS, MD, PC
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Dates
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Enumeration Date | 10/03/2007
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Last Update Date | 10/03/2007
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Provider Practice Location Address
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Address Line | 3400 E FRANK PHILLIPS BLVD SUITE 400
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City | BARTLESVILLE
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State | OK
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Zip | 74006-2495
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Country | US
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Telephone | 918-331-2522
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Fax | 918-331-2539
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Provider Business Mailing Address
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Address Line | 3400 E FRANK PHILLIPS BLVD SUITE 400
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City | BARTLESVILLE
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State | OK
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Zip | 74006-2495
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Country | US
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Telephone | 918-331-2522
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Fax | 918-331-2539
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | MRS. JANET M DOLSKY
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Credential |
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Telephone | 918-331-2537
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 17344
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License Number State | OK
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