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General NPI Number Information
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NPI Number | 1225090038
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Entity Type | Individual
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Provider Name | VICTOR FRANCISCO COLOSO M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/05/2006
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Last Update Date | 09/24/2024
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Provider Practice Location Address
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Address Line | 7301 ROGERS AVE
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City | FORT SMITH
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State | AR
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Zip | 72903-4100
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Country | US
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Telephone | 479-314-4635
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Fax | 479-314-4634
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Provider Business Mailing Address
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Address Line | PO BOX 11350
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City | FORT SMITH
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State | AR
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Zip | 72917-1350
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Country | US
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Telephone | 479-314-4635
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Fax | 479-314-4634
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | ME70769
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | C2070
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | C2070
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | 01089436A
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License Number State | IN
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