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General NPI Number Information
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NPI Number | 1518237767
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Entity Type | Individual
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Provider Name | JILL ANN COLTON-SPINA NP, RN
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Gender | Female
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Dates
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Enumeration Date | 01/05/2012
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Last Update Date | 05/10/2024
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Provider Practice Location Address
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Address Line | 505 TECHNOLOGY PARK, STE 109
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City | LAKE MARY
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State | FL
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Zip | 32746
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Country | US
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Telephone | 407-647-2346
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Fax |
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Provider Business Mailing Address
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Address Line | 548 MARKET ST DONE
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City | SAN FRANCISCO
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State | CA
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Zip | 94104
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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 |
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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 | RN38344
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | CNP111116
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License Number State | ME
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