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General NPI Number Information
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NPI Number | 1952514614
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Entity Type | Organization
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Legal Business Name | COLLIER HEALTH SERVICES INC
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Dates
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Enumeration Date | 05/08/2007
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Last Update Date | 02/18/2008
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Provider Practice Location Address
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Address Line | 3425 10TH ST N
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City | NAPLES
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State | FL
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Zip | 34103-3806
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Country | US
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Telephone | 239-262-3669
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Fax | 239-262-2031
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Provider Business Mailing Address
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Address Line | 3425 10TH ST N
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City | NAPLES
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State | FL
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Zip | 34103-3806
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Country | US
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Telephone | 239-262-3669
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Fax | 239-262-2031
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | SHARON B ARAGONA
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Credential |
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Telephone | 239-658-3035
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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