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General NPI Number Information
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NPI Number | 1568789030
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Entity Type | Organization
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Legal Business Name | NORBERT E. COLLINS, M.D. INC
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Dates
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Enumeration Date | 04/23/2010
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Last Update Date | 04/23/2010
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Provider Practice Location Address
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Address Line | 124 E. OLIVE AVE.
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City | REDLANDS
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State | CA
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Zip | 92373
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Country | US
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Telephone | 909-793-3544
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Fax | 909-307-3385
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Provider Business Mailing Address
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Address Line | 124 E. OLIVE AVE.
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City | REDLANDS
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State | CA
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Zip | 92373
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Country | US
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Telephone | 909-793-3544
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Fax | 909-307-3385
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. NORBERT E COLLINS
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Credential | M.D.
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Telephone | 909-793-3544
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | A34853
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License Number State | CA
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