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General NPI Number Information
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NPI Number | 1104919273
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Entity Type | Individual
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Provider Name | IRMA NYDIA COLON MD
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Gender | Female
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 10/21/2011
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Provider Practice Location Address
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Address Line | 202 AVE ESMERALDA URB PONCE DE LEON
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City | GUAYNABO
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State | PR
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Zip | 00969
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Country | US
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Telephone | 787-272-5656
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Fax | 787-720-3232
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Provider Business Mailing Address
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Address Line | PMB 171 53 AVE ESMERALDA
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City | GUAYNABO
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State | PR
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Zip | 00969-4429
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Country | US
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Telephone | 787-272-5656
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Fax | 787-720-3232
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 007857
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License Number State | PR
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