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General NPI Number Information
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NPI Number | 1831678994
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Entity Type | Individual
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Provider Name | JOYCE COLSON
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Gender | Female
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Dates
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Enumeration Date | 08/09/2018
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Last Update Date | 08/09/2018
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Provider Practice Location Address
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Address Line | 8055 SPYGLASS HILL RD STE 102
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City | MELBOURNE
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State | FL
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Zip | 32940-8564
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Country | US
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Telephone | 321-255-8080
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Fax |
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Provider Business Mailing Address
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Address Line | 9 GALEN ST STE 240
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City | WATERTOWN
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State | MA
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Zip | 02472-4522
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Country | US
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Telephone |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2618662
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License Number State | FL
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