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General NPI Number Information
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NPI Number | 1700286101
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Entity Type | Individual
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Provider Name | ANNA MICHELLE COLLINGS A.P., D.O.M.
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Gender | Female
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Dates
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Enumeration Date | 09/04/2014
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Last Update Date | 09/04/2014
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Provider Practice Location Address
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Address Line | 1375 N COURTENAY PKWY
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City | MERRITT ISLAND
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State | FL
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Zip | 32953-4470
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Country | US
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Telephone | 321-289-1560
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Fax |
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Provider Business Mailing Address
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Address Line | 430 ISLAND BEACH BLVD
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City | MERRITT ISLAND
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State | FL
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Zip | 32952-5063
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Country | US
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Telephone | 321-289-1560
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AP1509
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License Number State | FL
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