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General NPI Number Information
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NPI Number | 1053502245
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Entity Type | Individual
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Provider Name | SANDRA LILIANA PEDRAZA CARDOZO M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/05/2007
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Last Update Date | 09/20/2024
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Provider Practice Location Address
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Address Line | 2501 N ORANGE AVE STE 235
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City | ORLANDO
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State | FL
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Zip | 32804-4659
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Country | US
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Telephone | 407-303-2906
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Fax | 407-303-2553
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Provider Business Mailing Address
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Address Line | 2501 N ORANGE AVE STE 235
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City | ORLANDO
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State | FL
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Zip | 32804-4659
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Country | US
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Telephone | 407-303-2906
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Fax | 407-303-2553
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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 | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | D88226
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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License Number | D88226
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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License Number | ME169606
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License Number State | FL
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