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General NPI Number Information
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NPI Number | 1326235672
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Entity Type | Organization
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Legal Business Name | EDWIN COLON MD PA
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Dates
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Enumeration Date | 10/01/2007
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Last Update Date | 02/15/2008
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Provider Practice Location Address
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Address Line | 8819 RIVER CROSSING BLVD
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City | NEW PORT RICHEY
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State | FL
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Zip | 34655-5132
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Country | US
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Telephone | 727-384-8833
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Fax | 727-834-8842
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Provider Business Mailing Address
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Address Line | PO BOX 99
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City | DADE CITY
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State | FL
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Zip | 33526-0099
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. EDWIN COLON
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Credential | MD
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Telephone | 727-834-8833
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | ME966525
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | ARNP1363142
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | ME56685
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License Number State | FL
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