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General NPI Number Information
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NPI Number | 1669659793
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Entity Type | Individual
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Provider Name | JEREMY GIERE COLLINS MD
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Gender | Male
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Dates
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Enumeration Date | 01/31/2008
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Last Update Date | 09/08/2021
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Provider Practice Location Address
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Address Line | 46 S. MAIN ST. SUITE 2
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City | CONCORD
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State | NH
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Zip | 03301
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Country | US
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Telephone | 603-622-8665
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Fax | 833-413-4978
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Provider Business Mailing Address
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Address Line | 46 S. MAIN ST. SUITE 2
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City | CONCORD
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State | NH
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Zip | 03301
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Country | US
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Telephone | 603-622-8665
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Fax | 833-413-4978
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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 | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number | 16634
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 253233
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | C1-0009679
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License Number State | DE
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Taxonomy #4
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 16634
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License Number State | NH
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