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General NPI Number Information
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NPI Number | 1922286277
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Entity Type | Individual
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Provider Name | EDGAR E COLLINS M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/07/2008
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Last Update Date | 02/07/2008
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Provider Practice Location Address
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Address Line | 747 E SAINT GEORGE BLVD
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City | ST GEORGE
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State | UT
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Zip | 84770-3035
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Country | US
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Telephone | 435-673-6111
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Fax | 435-673-1510
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Provider Business Mailing Address
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Address Line | 3466 N 2575 W
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City | FARR WEST
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State | UT
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Zip | 84404-8611
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Country | US
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Telephone | 801-731-6577
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Fax | 801-731-8089
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 134387-1205
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License Number State | UT
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