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General NPI Number Information
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NPI Number | 1134323256
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Entity Type | Individual
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Provider Name | ABIGAIL AMADOR COLON PSYCHOLOGIST
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Gender | Female
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Dates
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Enumeration Date | 06/13/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | #63 CALLE HERNAIZ ESQUINO BETANCES
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City | CANOVANAS
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State | PR
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Zip | 00729-3309
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Country | US
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Telephone | 787-614-0366
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Fax | 787-886-1311
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Provider Business Mailing Address
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Address Line | CALLE 110 BH-24 VALLE ARRIBA HEIGHTS
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City | CAROLINA
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State | PR
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Zip | 00983-3309
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Country | US
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Telephone | 787-614-0366
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Fax | 787-886-1311
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 1939
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License Number State | PR
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