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General NPI Number Information
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NPI Number | 1689841132
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Entity Type | Individual
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Provider Name | LOURDES M COLON PHARM D.
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Gender | Female
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Dates
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Enumeration Date | 05/14/2008
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Last Update Date | 08/03/2010
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Provider Practice Location Address
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Address Line | 20601 OLD CUTLER RD
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City | CUTLER BAY
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State | FL
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Zip | 33189-2441
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Country | US
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Telephone | 305-259-6464
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Fax |
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Provider Business Mailing Address
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Address Line | 10801 NW 80TH LN
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City | DORAL
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State | FL
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Zip | 33178-6046
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Country | US
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Telephone | 305-887-7715
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 5053
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS43044
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License Number State | FL
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