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General NPI Number Information
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NPI Number | 1083848931
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Entity Type | Individual
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Provider Name | MARIA CRISTINA CORDERO-RICARDO D.M.D
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Gender | Female
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Dates
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Enumeration Date | 05/06/2009
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Last Update Date | 03/30/2021
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Provider Practice Location Address
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Address Line | 2000 HAMILTON ST STE 304
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City | PHILADELPHIA
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State | PA
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Zip | 19130-3863
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Country | US
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Telephone | 267-507-1064
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Fax |
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Provider Business Mailing Address
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Address Line | 2000 HAMILTON ST STE 304
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City | PHILADELPHIA
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State | PA
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Zip | 19130-3863
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Country | US
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Telephone | 267-507-1064
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 22D102436200
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 558983-1
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | GI-0001307
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License Number State | DE
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Taxonomy #4
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | DS041188
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License Number State | PA
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