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General NPI Number Information
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NPI Number | 1821333162
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Entity Type | Individual
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Provider Name | BEVERLY ANN COLLINS NP
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Gender | Female
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Dates
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Enumeration Date | 11/27/2012
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Last Update Date | 03/24/2021
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Provider Practice Location Address
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Address Line | 23811 WASHINGTON AVE C110-265
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City | MURRIETA
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State | CA
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Zip | 92562
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Country | US
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Telephone | 951-265-3677
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Fax | 951-239-0110
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Provider Business Mailing Address
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Address Line | 6108 RICKERHILL LN
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City | AUSTIN
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State | TX
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Zip | 78739-1684
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Country | US
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Telephone | 951-265-3677
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 3109
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | AP123876
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | AP123876
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 3109
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 159780
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License Number State | CA
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Taxonomy #6
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 3109
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License Number State | CA
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