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General NPI Number Information
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NPI Number | 1871027383
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Entity Type | Individual
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Provider Name | COLLIN DAVID HENRY MD
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Gender | Male
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Dates
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Enumeration Date | 04/12/2017
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 2400 EASTPOINT PKWY STE 350
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City | LOUISVILLE
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State | KY
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Zip | 40223-4154
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Country | US
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Telephone | 502-938-8970
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Fax | 502-928-8971
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Provider Business Mailing Address
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Address Line | 1901 CAMPUS PL
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City | LOUISVILLE
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State | KY
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Zip | 40299-2308
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Country | US
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Telephone | 502-253-4924
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Fax | 502-489-5750
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 60527
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License Number State | KY
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