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General NPI Number Information
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NPI Number | 1023080611
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Entity Type | Organization
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Legal Business Name | NELSON COLON MD PSC
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Dates
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Enumeration Date | 02/07/2006
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Last Update Date | 08/27/2014
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Provider Practice Location Address
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Address Line | 1801 AVE PONCE DE LEON, SUITE 312 SANTURCE MEDICAL MALL
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City | SAN JUAN
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State | PR
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Zip | 00909-2649
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Country | US
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Telephone | 787-977-4383
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Fax | 787-722-5362
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Provider Business Mailing Address
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Address Line | 1801 AVE PONCE DE LEON, SUITE 312 SANTURCE MEDICAL MALL
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City | SAN JUAN
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State | PR
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Zip | 00909-2649
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Country | US
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Telephone | 787-977-4383
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Fax | 787-722-5362
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Authorized Official
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Title or Position | PRESIDENT
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Name | NELSON COLON
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Credential | MD
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Telephone | 787-977-4383
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 11290
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License Number State | PR
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