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General NPI Number Information
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NPI Number | 1861570202
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Entity Type | Organization
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Legal Business Name | RICHARD COLLENS MD PC
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Dates
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Enumeration Date | 11/02/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 697 W END AVE 1C
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City | NEW YORK
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State | NY
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Zip | 10025-6823
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Country | US
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Telephone | 212-222-7071
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Fax | 212-222-1617
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Provider Business Mailing Address
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Address Line | 697 W END AVE 1C
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City | NEW YORK
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State | NY
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Zip | 10025-6823
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Country | US
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Telephone | 212-222-7071
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Fax | 212-222-1617
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RICHARD COLLENS
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Credential | MD
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Telephone | 212-222-7071
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 99276
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License Number State | NY
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