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General NPI Number Information
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NPI Number | 1609097526
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Entity Type | Individual
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Provider Name | REBECCA COLLINS DO
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Gender | Female
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 11/14/2012
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Provider Practice Location Address
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Address Line | 80 BEEKMAN AVE
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City | SLEEPY HOLLOW
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State | NY
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Zip | 10591-2503
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Country | US
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Telephone | 914-631-4141
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Fax |
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Provider Business Mailing Address
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Address Line | 165 MAIN ST
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City | OSSINING
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State | NY
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Zip | 10562-4702
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Country | US
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Telephone | 914-941-1263
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Fax | 914-941-0993
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 239687
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS-014472
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License Number State | PA
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