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General NPI Number Information
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NPI Number | 1003933417
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Entity Type | Individual
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Provider Name | KERMIT RICHIEZ COLON M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/23/2007
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Last Update Date | 04/22/2019
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Provider Practice Location Address
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Address Line | PONCE DE LEON # 735 TORRE MEDICA AUXILIO MUTUO SUITE 402
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City | HATO REY
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State | PR
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Zip | 00917-5022
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Country | US
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Telephone | 787-777-0977
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Fax | 787-777-0981
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Provider Business Mailing Address
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Address Line | AVE PONCE DE LEON 735 TORRE MEDICA AUXILIO MUTUO SUITE 402
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City | HATO REY
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State | PR
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Zip | 00917-5022
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Country | US
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Telephone | 787-777-0977
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Fax | 787-777-0981
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 10441
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License Number State | PR
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