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General NPI Number Information
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NPI Number | 1619718301
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Entity Type | Individual
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Provider Name | FRANCHESKA MICHELLE COLON-BONILLA
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Gender | Female
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Dates
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Enumeration Date | 06/05/2024
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Last Update Date | 06/06/2024
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Provider Practice Location Address
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Address Line | AVE BOULEVARD EE 10 LOCAL 3 6TA SECCION LEVITTOWN
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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 | 787-612-7370
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Fax |
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Provider Business Mailing Address
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Address Line | 1322 PASEO DIAMELA
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City | TOA BAJA
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State | PR
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Zip | 00949-4124
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Country | US
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Telephone | 787-612-7370
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 006753
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License Number State | PR
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