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General NPI Number Information
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NPI Number | 1386425064
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Entity Type | Individual
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Provider Name | ZOELYS ESTHER COLON ORTIZ
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Gender | Female
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Dates
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Enumeration Date | 10/10/2023
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Last Update Date | 03/06/2024
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Provider Practice Location Address
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Address Line | CARR. 139 K 2.1 BAYAS MARAGUEZ
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City | PONCE
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State | PR
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Zip | 00731-0073
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Country | US
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Telephone | 787-988-3381
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Fax |
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Provider Business Mailing Address
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Address Line | HC 6 BOX 2158
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City | PONCE
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State | PR
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Zip | 00731-9611
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Country | US
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Telephone | 787-988-3381
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 16546
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License Number State | PR
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