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General NPI Number Information
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NPI Number | 1609221688
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Entity Type | Individual
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Provider Name | JESSICA COLLINS DPM
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Gender | Female
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Dates
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Enumeration Date | 04/27/2016
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Last Update Date | 01/24/2025
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Provider Practice Location Address
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Address Line | 3131 PRINCETON PIKE BLDG 4A
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City | LAWRENCEVILLE
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State | NJ
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Zip | 08648-2201
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Country | US
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Telephone | 609-896-1700
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Fax | 732-463-5532
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Provider Business Mailing Address
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Address Line | 379 CAMPUS DR STE 3
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City | SOMERSET
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State | NJ
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Zip | 08873-1161
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Country | US
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Telephone | 732-937-8939
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Fax | 732-418-8372
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 25MD00351300
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License Number State | NJ
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