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General NPI Number Information
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NPI Number | 1881192631
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Entity Type | Organization
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Legal Business Name | COLLINS AND ASSOCIATES DDS PA
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Dates
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Enumeration Date | 01/26/2018
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Last Update Date | 01/26/2018
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Provider Practice Location Address
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Address Line | 714 E 4TH AVE
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City | RED SPRINGS
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State | NC
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Zip | 28377-1669
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Country | US
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Telephone | 910-843-3353
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Fax | 910-843-7240
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Provider Business Mailing Address
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Address Line | PO BOX 112
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City | RED SPRINGS
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State | NC
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Zip | 28377-0112
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Country | US
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Telephone | 910-843-3353
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Fax | 910-843-7240
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Authorized Official
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Title or Position | DENTIST
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Name | BENJAMIN K COLLINS
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Credential | DDS
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Telephone | 910-843-3353
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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 | 9326
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 8233
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 8618
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License Number State | NC
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