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General NPI Number Information
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NPI Number | 1558170928
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Entity Type | Individual
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Provider Name | SARAH I COLON PLAZA PHD
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Gender | Female
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Dates
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Enumeration Date | 12/31/2024
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Last Update Date | 12/31/2024
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Provider Practice Location Address
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Address Line | 100 CALLE COLINA REAL LAS COLINAS
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City | TOA BAJA
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State | PR
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Zip | 00949
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Country | US
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Telephone | 787-779-8385
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Fax |
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Provider Business Mailing Address
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Address Line | AA6 VILLAS DE PLAYA 2 DORADO DEL MAR
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City | DORADO
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State | PR
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Zip | 00646
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Country | US
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Telephone | 787-463-2232
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 2920
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License Number State | PR
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