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General NPI Number Information
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NPI Number | 1871751339
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Entity Type | Individual
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Provider Name | ERIN ANNE KOLLING DDS
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Gender | Female
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Dates
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Enumeration Date | 05/30/2008
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Last Update Date | 10/16/2024
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Provider Practice Location Address
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Address Line | 21219 QUESTHAVEN RD
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City | SAN MARCOS
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State | CA
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Zip | 92078-3410
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Country | US
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Telephone | 320-309-6791
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Fax |
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Provider Business Mailing Address
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Address Line | 901 WIND DRIFT DR
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City | CARLSBAD
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State | CA
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Zip | 92011-1128
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Country | US
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Telephone | 320-309-6791
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | D12510
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | D9692
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | D012260
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License Number State | AZ
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