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General NPI Number Information
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NPI Number | 1386862886
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Entity Type | Individual
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Provider Name | DIANA LIZ COLON PT
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Gender | Female
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Dates
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Enumeration Date | 04/23/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | BO. MOGOTE CARR # 151 KM 8.0
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City | VILLALBA
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State | PR
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Zip | 00766
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Country | US
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Telephone | 787-847-0736
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Fax | 787-847-3336
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Provider Business Mailing Address
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Address Line | PO BOX 1124
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City | VILLALBA
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State | PR
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Zip | 00766-1124
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Country | US
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Telephone | 787-601-3591
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Fax | 787-847-3336
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | 004567
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License Number State | PR
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