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General NPI Number Information
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NPI Number | 1982012704
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Entity Type | Organization
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Legal Business Name | JACQUELYN COLLINS, O.D., P.C.
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Dates
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Enumeration Date | 07/24/2014
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Last Update Date | 07/24/2014
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Provider Practice Location Address
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Address Line | 4925 UNIVERSITY DR NW SUITE 102
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City | HUNTSVILLE
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State | AL
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Zip | 35816-1886
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Country | US
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Telephone | 256-830-9533
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Fax | 256-830-0644
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Provider Business Mailing Address
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Address Line | 4925 UNIVERSITY DR NW SUITE 102
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City | HUNTSVILLE
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State | AL
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Zip | 35816-1886
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Country | US
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Telephone | 256-830-9533
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Fax | 256-830-0644
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Authorized Official
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Title or Position | OWNER/OPTOMETRIST
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Name | DR. JACQUELYN OLIVIA COLLINS-FRENCH
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Credential | M.S., O.D.
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Telephone | 256-830-9533
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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