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General NPI Number Information
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NPI Number | 1710539150
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Entity Type | Individual
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Provider Name | ALFREDO DANIEL COLON-MARRERO
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Gender | Male
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Dates
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Enumeration Date | 07/16/2019
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | 1 GUSTAVE L LEVY PL # 1076
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City | NEW YORK
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State | NY
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Zip | 10029-6504
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Country | US
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Telephone | 212-241-2299
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Fax |
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Provider Business Mailing Address
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Address Line | BAYSTATE MEDICAL CENTER 759 CHESTNUT STREET
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City | SPRINGFIELD
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State | MA
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Zip | 01199-0001
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Country | US
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Telephone | 413-794-0000
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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 | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number | 288871
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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