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NPI 1851483341

NPI 1851483341 : ALVIN CURTIS COLLINS B.S/ A.S. : WEST HAVEN, CT

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General NPI Number Information
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    NPI Number           |    1851483341
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    Entity Type          |    Individual 
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    Provider Name        |    ALVIN CURTIS COLLINS B.S/ A.S.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    09/29/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    114 BOSTON POST RD 2ND FLOOR
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    City                 |    WEST HAVEN
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    State                |    CT
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    Zip                  |    06516-2043
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    Country              |    US
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    Telephone            |    203-931-4051
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    Fax                  |    203-931-4643
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Provider Business Mailing Address
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    Address Line         |    40 WINCHESTER AVE 1ST FLOOR
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    City                 |    NEW HAVEN
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    State                |    CT
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    Zip                  |    06511-3502
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    Country              |    US
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    Telephone            |    203-931-4051
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    Fax                  |    203-931-4643
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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        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
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    License Number       |    
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    License Number State |    
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