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General NPI Number Information
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NPI Number | 1821430935
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Entity Type | Individual
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Provider Name | HEATH A. COLLINS LCSW
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Gender | Male
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Dates
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Enumeration Date | 07/18/2013
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Last Update Date | 06/23/2016
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Provider Practice Location Address
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Address Line | 3209 S INTERSTATE 35 #1095
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City | AUSTIN
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State | TX
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Zip | 78741-6990
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Country | US
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Telephone | 512-903-0606
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Fax |
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Provider Business Mailing Address
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Address Line | 3209 S INTERSTATE 35 #1095
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City | AUSTIN
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State | TX
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Zip | 78741-6990
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Country | US
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Telephone | 512-903-0606
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Fax | 512-703-1394
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 51507
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License Number State | TX
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