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General NPI Number Information
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NPI Number | 1699110858
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Entity Type | Individual
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Provider Name | DR. MICHAEL S COLLINS
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Gender | Male
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Dates
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Enumeration Date | 05/01/2013
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Last Update Date | 02/07/2024
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Provider Practice Location Address
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Address Line | 41 UNION SQ W STE 509
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City | NEW YORK
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State | NY
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Zip | 10003-3232
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Country | US
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Telephone | 917-983-2692
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Fax |
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Provider Business Mailing Address
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Address Line | 333 W 57TH ST APT 3E
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City | NEW YORK
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State | NY
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Zip | 10019-3116
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Country | US
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Telephone | 177-805-1299
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 006800
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License Number State | NY
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