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NPI 1780775643

NPI 1780775643 : SEAN COLLINS MD : NASHVILLE, TN

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General NPI Number Information
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    NPI Number           |    1780775643
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    Entity Type          |    Individual 
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    Provider Name        |    SEAN COLLINS MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    09/27/2006
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    Last Update Date     |    03/26/2022
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Provider Practice Location Address
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    Address Line         |    1313 21ST AVE S 
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    City                 |    NASHVILLE
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    State                |    TN
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    Zip                  |    37232-4700
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    Country              |    US
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    Telephone            |    615-875-6151
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    Fax                  |    615-936-3754
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Provider Business Mailing Address
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    Address Line         |    3841 GREEN HILLS VILLAGE DR STE 200 
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    City                 |    NASHVILLE
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    State                |    TN
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    Zip                  |    37215-2691
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    Country              |    US
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    Telephone            |    615-875-6151
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    Fax                  |    615-936-3754
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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        |    207P00000X
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    Taxonomy Name        |    Emergency Medicine Physician
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    License Number       |    35-075451
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    License Number State |    OH
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Taxonomy #2
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    Taxonomy Code        |    207P00000X
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    Taxonomy Name        |    Emergency Medicine Physician
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    License Number       |    MD47458
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    License Number State |    TN
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