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General NPI Number Information
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NPI Number | 1801153192
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Entity Type | Individual
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Provider Name | ROXANA COLON O.D.
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Gender | Female
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Dates
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Enumeration Date | 04/11/2012
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Last Update Date | 01/06/2015
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Provider Practice Location Address
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Address Line | 9893 N MICHIGAN RD STE 100
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City | CARMEL
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State | IN
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Zip | 46032-7966
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Country | US
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Telephone | 317-872-3451
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Fax | 317-872-3466
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Provider Business Mailing Address
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Address Line | 9893 N MICHIGAN RD STE 100
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City | CARMEL
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State | IN
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Zip | 46032-7966
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Country | US
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Telephone | 317-872-3451
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Fax | 317-872-3466
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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 | 2853
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 046010717
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 18003845A
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License Number State | IN
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