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General NPI Number Information
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NPI Number | 1811745219
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Entity Type | Individual
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Provider Name | PETER C COLLINS DNP
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Gender | Male
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Dates
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Enumeration Date | 05/09/2024
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Last Update Date | 02/19/2026
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Provider Practice Location Address
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Address Line | 139 HAZARD AVE STE 2
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City | ENFIELD
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State | CT
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Zip | 06082-4585
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Country | US
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Telephone | 860-253-0037
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Fax | 860-253-7297
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Provider Business Mailing Address
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Address Line | 20 THOMASTON ST
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City | HARTFORD
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State | CT
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Zip | 06112-1541
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Country | US
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Telephone | 860-938-5152
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Fax |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2023205534
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License Number State | CT
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