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General NPI Number Information
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NPI Number | 1013791615
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Entity Type | Individual
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Provider Name | ANGELISSE DROZ COLON CSW
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Gender | Female
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Dates
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Enumeration Date | 08/23/2023
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Last Update Date | 08/23/2023
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Provider Practice Location Address
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Address Line | SANTA MARIA SHOPPING CTR
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City | PONCE
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State | PR
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Zip | 00717-4199
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Country | US
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Telephone | 787-641-9133
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Fax |
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Provider Business Mailing Address
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Address Line | URB HACIENDA LA MATILDE 5429 CALLE SURCO
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City | PONCE
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State | PR
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Zip | 00728-2444
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Country | US
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Telephone | 787-373-3817
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Fax |
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 15572
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License Number State | PR
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