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General NPI Number Information
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NPI Number | 1457329351
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Entity Type | Individual
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Provider Name | ANA L COLON DE JIMENEZ M.D. F.A.A.D
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Gender | Female
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Dates
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Enumeration Date | 03/08/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 6 CALLE JOSE FERNANDEZ
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City | SAN JUAN
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State | PR
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Zip | 00918-4404
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Country | US
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Telephone | 787-763-1612
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Fax | 787-753-7615
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Provider Business Mailing Address
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Address Line | PO BOX 22678
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City | SAN JUAN
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State | PR
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Zip | 00931-2678
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Country | US
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Telephone | 787-763-1612
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Fax | 787-753-7615
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 3306
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License Number State | PR
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