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NPI Code Detail

MEDICARE: MARILYN COLLINS

MEDICARE:   MARILYN  COLLINS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1396248803
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARILYN COLLINS
Provider Business Mailing Address
First Line : 2114 NOBLE RD
Second Line :
City : CLEVELAND
State : OH
Zip : 44112-1725
Country : US
Telephone Number : 216-268-2400
Fax Number :
Provider Business Practice Location Address
First Line : 2114 NOBLE RD
Second Line :
City : CLEVELAND
State : OH
Zip : 44112-1725
Country : US
Telephone Number : 216-268-2400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2018
Last Update Date : 03/10/2018

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Directions to “ MARILYN COLLINS ” Practice Location

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