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General NPI Number Information
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NPI Number | 1780896704
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Entity Type | Organization
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Legal Business Name | CHRISTINA COLLINS LLC
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 11/09/2007
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Provider Practice Location Address
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Address Line | 75-5759 KUAKINI HWY SUITE 202
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City | KAILUA KONA
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State | HI
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Zip | 96740-1726
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Country | US
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Telephone | 808-331-2300
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Fax |
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Provider Business Mailing Address
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Address Line | 75-5759 KUAKINI HWY SUITE 202
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City | KAILUA KONA
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State | HI
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Zip | 96740-1726
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Country | US
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Telephone | 808-331-2300
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. CHRISTINA COLLINS
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Credential | M.D.
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Telephone | 808-331-2300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | MD13205
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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License Number | MD13205
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License Number State | HI
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