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General NPI Number Information
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NPI Number | 1790592293
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Entity Type | Organization
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Legal Business Name | COLLINS HOUSING SOLUTIONS
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Dates
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Enumeration Date | 12/17/2024
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Last Update Date | 12/17/2024
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Provider Practice Location Address
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Address Line | 825 BALBOA AVE UNIT 306
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City | CAPITOLA
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State | CA
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Zip | 95010-2350
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Country | US
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Telephone | 925-705-3297
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Fax |
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Provider Business Mailing Address
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Address Line | 825 BALBOA AVE UNIT 306
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City | CAPITOLA
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State | CA
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Zip | 95010-2350
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Country | US
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Telephone | 925-705-3297
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. TAMIKO COLLINS
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Credential |
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Telephone | 925-705-3297
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 177F00000X
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Taxonomy Name | Lodging Provider
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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