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General NPI Number Information
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NPI Number | 1861550428
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Entity Type | Individual
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Provider Name | MITZARIE ANN CARLO - COLON AU.D., PH.D.
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Gender | Female
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 04/09/2020
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Provider Practice Location Address
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Address Line | CLINICA DE LA ESCUELA DE MEDICINA REPARTO METROPOLITANO SHOPPING CENTER
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City | SAN JUAN
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State | PR
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Zip | 00921
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Country | US
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Telephone | 787-758-7910
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Fax | 787-625-1966
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Provider Business Mailing Address
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Address Line | PROGRAMA DOCTORAL EN AUDIOLOGIA - EPS, U.PR PO BOX 365067
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City | SAN JUAN
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State | PR
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Zip | 00936-5067
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Country | US
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Telephone | 787-758-2525
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Fax | 787-765-6540
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 592
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License Number State | PR
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