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General NPI Number Information
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NPI Number | 1336898626
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Entity Type | Individual
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Provider Name | MARIANNA COLON
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Gender | Female
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Dates
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Enumeration Date | 03/22/2022
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 2301 ERWIN RD
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City | DURHAM
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State | NC
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Zip | 27710-3901
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Country | US
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Telephone | 919-684-8111
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Fax |
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Provider Business Mailing Address
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Address Line | 500 N WEST ST UNIT 324
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City | RALEIGH
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State | NC
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Zip | 27603-5070
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Country | US
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Telephone | 904-207-1550
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Fax |
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 9539310
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LP0222X
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Taxonomy Name | Critical Care Pediatric Nurse Practitioner
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License Number | AP61524411
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 363LP0222X
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Taxonomy Name | Critical Care Pediatric Nurse Practitioner
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License Number | 5021920
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License Number State | NC
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