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General NPI Number Information
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NPI Number | 1790073666
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Entity Type | Organization
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Legal Business Name | COLLINS CONSULTANTS INTERNATIONAL INC
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Dates
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Enumeration Date | 07/13/2011
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Last Update Date | 12/04/2012
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Provider Practice Location Address
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Address Line | 888 S GREENVILLE AVE STE 205
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City | RICHARDSON
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State | TX
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Zip | 75081-5058
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Country | US
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Telephone | 972-238-7115
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Fax | 817-303-3748
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Provider Business Mailing Address
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Address Line | 888 S GREENVILLE AVE STE 205
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City | RICHARDSON
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State | TX
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Zip | 75081-5058
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Country | US
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Telephone | 972-238-7115
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Fax | 817-303-3748
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Authorized Official
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Title or Position | OWNER/ALT ADMINISTRATOR
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Name | NICHOLAS GICHOHI
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Credential |
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Telephone | 972-238-7115
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 014387
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License Number State | TX
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