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General NPI Number Information
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NPI Number | 1841289451
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Entity Type | Individual
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Provider Name | OSCAR E VALE COLON M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/17/2005
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Last Update Date | 05/25/2022
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Provider Practice Location Address
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Address Line | CARR. 111 EDIFICIO VALE COLON OFICINA NUM 6
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City | MOCA
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State | PR
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Zip | 00676
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Country | US
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Telephone | 787-877-1990
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Fax | 787-818-5973
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Provider Business Mailing Address
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Address Line | PO BOX 1858
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City | MOCA
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State | PR
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Zip | 00676-1858
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Country | US
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Telephone | 787-877-1990
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Fax | 787-818-5973
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 10376
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License Number State | PR
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