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General NPI Number Information
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NPI Number | 1750536975
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Entity Type | Individual
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Provider Name | ANDREA WHITE COLLINS CRNP
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Gender | Female
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Dates
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Enumeration Date | 12/02/2008
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Last Update Date | 07/18/2019
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Provider Practice Location Address
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Address Line | 1020 26TH ST S STE 100
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City | BIRMINGHAM
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State | AL
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Zip | 35205-2412
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Country | US
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Telephone | 205-332-3155
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Fax |
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Provider Business Mailing Address
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Address Line | 122 MARY ANN LN
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City | TRUSSVILLE
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State | AL
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Zip | 35173-4201
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Country | US
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Telephone | 205-467-7502
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1-054515
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 1-054515
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License Number State | AL
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