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General NPI Number Information
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NPI Number | 1821912866
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Entity Type | Individual
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Provider Name | MICHAEL TYLER COLLINS DC
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Gender | Male
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Dates
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Enumeration Date | 08/04/2026
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Last Update Date | 08/04/2026
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Provider Practice Location Address
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Address Line | 32585 GOLDEN LANTERN STE H
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City | DANA POINT
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State | CA
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Zip | 92629-3252
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Country | US
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Telephone | 949-584-5000
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Fax | 949-481-3924
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Provider Business Mailing Address
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Address Line | 32585 GOLDEN LANTERN STE H
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City | DANA POINT
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State | CA
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Zip | 92629-3252
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Country | US
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Telephone | 949-584-5000
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Fax | 949-481-3924
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC37700
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License Number State | CA
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