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General NPI Number Information
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NPI Number | 1821644956
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Entity Type | Individual
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Provider Name | COLLIN CHIN MBBS
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Gender | Male
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Dates
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Enumeration Date | 08/14/2019
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Last Update Date | 08/14/2019
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Provider Practice Location Address
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Address Line | 1515 HOLCOMBE BLVD UNIT 429
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City | HOUSTON
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State | TX
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Zip | 77030-4000
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Country | US
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Telephone | 713-745-0995
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Fax |
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Provider Business Mailing Address
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Address Line | 3131 TIMMONS LN APT 1301
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City | HOUSTON
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State | TX
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Zip | 77027-6076
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Country | US
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Telephone | 832-908-7757
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | BP10066523
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License Number State | TX
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