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General NPI Number Information
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NPI Number | 1720102312
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Entity Type | Individual
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Provider Name | WILLIAM JOSEPH COLLINS APRN
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Gender | Male
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 05/12/2016
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Provider Practice Location Address
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Address Line | 3042 PLANTATION DR
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City | SELLERSBURG
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State | IN
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Zip | 47172-9136
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Country | US
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Telephone | 606-776-6309
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Fax | 606-363-0141
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Provider Business Mailing Address
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Address Line | PO BOX 4100
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City | BARBOURSVILLE
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State | WV
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Zip | 25504-4100
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Country | US
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Telephone | 606-776-6309
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Fax | 606-776-6309
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 209006516
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 3005507
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License Number State | KY
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