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General NPI Number Information
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NPI Number | 1942466750
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Entity Type | Individual
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Provider Name | RONALD DEREK COLLIER M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/31/2008
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Last Update Date | 07/31/2024
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Provider Practice Location Address
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Address Line | 206 E BROWN ST
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City | EAST STROUDSBURG
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State | PA
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Zip | 18301-3006
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Country | US
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Telephone | 570-421-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 2100 MACK BLVD FL 4
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City | ALLENTOWN
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State | PA
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Zip | 18103-5622
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Country | US
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Telephone | 484-884-4500
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Fax | 484-884-0699
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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 | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | A121760
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 073118
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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License Number | MD463027
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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License Number | ME133582
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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License Number | 0101263442
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License Number State | VA
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