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General NPI Number Information
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NPI Number | 1598636813
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Entity Type | Individual
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Provider Name | CHRISTINE CAROL COLLINS
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Gender | Female
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Dates
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Enumeration Date | 09/17/2025
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 100 ISLAND AVE
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City | SAN DIEGO
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State | CA
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Zip | 92101-7000
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Country | US
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Telephone | 619-626-1990
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Fax |
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Provider Business Mailing Address
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Address Line | 5116 NARRAGANSETT AVE APT 30
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City | SAN DIEGO
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State | CA
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Zip | 92107-3038
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Country | US
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Telephone | 919-448-6536
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 53177
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License Number State | CA
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