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General NPI Number Information
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NPI Number | 1578822755
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Entity Type | Individual
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Provider Name | ALVIN COLLINS MSW
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Gender | Male
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Dates
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Enumeration Date | 05/09/2012
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Last Update Date | 05/09/2012
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Provider Practice Location Address
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Address Line | 2514 N BROAD ST FL 2
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City | PHILADELPHIA
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State | PA
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Zip | 19132-4013
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Country | US
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Telephone | 215-599-8943
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Fax |
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Provider Business Mailing Address
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Address Line | 2020 GARRETT RD APT 209
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City | LANSDOWNE
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State | PA
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Zip | 19050-1071
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Country | US
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Telephone | 610-329-9857
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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 | 305S00000X
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Taxonomy Name | Point of Service
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License Number |
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License Number State |
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