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General NPI Number Information
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NPI Number | 1548226996
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Entity Type | Organization
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Legal Business Name | RONALD P. COLLINS,DC
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Dates
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Enumeration Date | 04/25/2006
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Last Update Date | 08/12/2010
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Provider Practice Location Address
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Address Line | 300 NEW RIVER PKWY SUITE 22
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City | HARDEEVILLE
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State | SC
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Zip | 29927-4547
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Country | US
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Telephone | 843-208-3404
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Fax | 843-208-3405
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Provider Business Mailing Address
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Address Line | 300 NEW RIVER PKWY SUITE 22
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City | HARDEEVILLE
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State | SC
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Zip | 29927-4547
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Country | US
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Telephone | 843-208-3404
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Fax | 843-208-3405
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Authorized Official
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Title or Position | OWNER CHIROPRACTOR
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Name | DR. RONALD P COLLINS
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Credential | DC
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Telephone | 843-208-3404
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 1697
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License Number State | SC
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