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General NPI Number Information
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NPI Number | 1942110416
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Entity Type | Individual
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Provider Name | MAGGIE MIKAYLA COLLINS
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Gender | Female
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Dates
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Enumeration Date | 09/08/2026
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Last Update Date | 09/08/2026
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Provider Practice Location Address
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Address Line | 890 S KERR AVE STE 200
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City | WILMINGTON
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State | NC
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Zip | 28403-4248
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Country | US
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Telephone | 910-788-2375
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Fax |
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Provider Business Mailing Address
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Address Line | 108 SEA BREEZE CT
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City | HAMPSTEAD
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State | NC
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Zip | 28443-2555
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Country | US
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Telephone | 910-617-5461
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | A23411
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License Number State | NC
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