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General NPI Number Information
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NPI Number | 1821443524
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Entity Type | Individual
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Provider Name | JESSICA COLLINS DO
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Gender | Female
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Dates
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Enumeration Date | 05/01/2016
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Last Update Date | 09/21/2025
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Provider Practice Location Address
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Address Line | 2930 CARTER AVE
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City | ASHLAND
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State | KY
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Zip | 41101-1943
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Country | US
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Telephone | 606-324-1483
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2379
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City | ASHLAND
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State | KY
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Zip | 41105-2379
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Country | US
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Telephone |
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 70219
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 207ND0101X
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Taxonomy Name | MOHS-Micrographic Surgery Physician
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License Number | 10929348-1204
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License Number State | UT
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Taxonomy #3
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | C3394
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 207NS0135X
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Taxonomy Name | Procedural Dermatology Physician
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License Number | 10929348-1204
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License Number State | UT
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