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General NPI Number Information
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NPI Number | 1538389382
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Entity Type | Individual
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Provider Name | SONIA M. COLON O.D.
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Gender | Female
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Dates
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Enumeration Date | 04/26/2007
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Last Update Date | 07/05/2022
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Provider Practice Location Address
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Address Line | 205 CALLE SAN FELIPE ALTOS
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City | ARECIBO
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State | PR
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Zip | 00612-4643
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Country | US
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Telephone | 787-878-3186
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Fax | 787-878-3186
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Provider Business Mailing Address
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Address Line | P.O BOX 1774 SAN FELIPE ST. 205
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City | ARECIBO
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State | PR
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Zip | 00613
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Country | US
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Telephone | 787-878-3186
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Fax | 787-878-3186
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 128
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License Number State | PR
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