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General NPI Number Information
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NPI Number | 1801828439
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Entity Type | Individual
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Provider Name | EVAN COLLINS MD
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Gender | Male
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 03/29/2025
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Provider Practice Location Address
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Address Line | 3498 NW FEDERAL HWY
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City | JENSEN BEACH
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State | FL
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Zip | 34957-4441
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Country | US
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Telephone | 772-219-1080
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Fax | 772-219-1070
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Provider Business Mailing Address
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Address Line | 3498 NW FEDERAL HWY
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City | JENSEN BEACH
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State | FL
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Zip | 34957-4441
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Country | US
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Telephone | 772-219-1080
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Fax | 772-219-1070
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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 | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | ME0053310
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License Number State | FL
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