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General NPI Number Information
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NPI Number | 1841388006
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Entity Type | Individual
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Provider Name | CHERYL J COLLINS LMHC, RN
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Gender | Female
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Dates
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Enumeration Date | 10/11/2006
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Last Update Date | 07/01/2013
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Provider Practice Location Address
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Address Line | 10425 SOARING EAGLE DR
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City | RIVERVIEW
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State | FL
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Zip | 33578-3354
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Country | US
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Telephone | 518-461-2597
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Fax |
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Provider Business Mailing Address
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Address Line | 10425 SOARING EAGLE DR
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City | RIVERVIEW
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State | FL
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Zip | 33578-3354
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Country | US
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Telephone | 518-461-2597
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 001880
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 163WA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Registered Nurse
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License Number | RN9262416
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH10337
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License Number State | FL
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