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General NPI Number Information
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NPI Number | 1861956054
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Entity Type | Individual
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Provider Name | COY COLLINS NP
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Gender | Male
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Dates
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Enumeration Date | 01/22/2019
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Last Update Date | 01/28/2026
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Provider Practice Location Address
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Address Line | 4764 E SUNRISE DR # 787
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City | TUCSON
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State | AZ
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Zip | 85718-4535
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Country | US
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Telephone | 520-775-2655
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Fax |
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Provider Business Mailing Address
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Address Line | 4764 E SUNRISE DR # 787
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City | TUCSON
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State | AZ
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Zip | 85718-4535
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Country | US
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Telephone |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 218603
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 218603
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 218603
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License Number State | AZ
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