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General NPI Number Information
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NPI Number | 1114816147
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Entity Type | Individual
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Provider Name | CARLOS MANUEL PADILLA RODRIGUEZ
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Gender | Male
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Dates
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Enumeration Date | 07/02/2025
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 1078 CYPRESS PKWY
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City | KISSIMMEE
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State | FL
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Zip | 34759-3328
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Country | US
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Telephone | 407-624-5808
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Fax |
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Provider Business Mailing Address
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Address Line | 13025 CORDELIA LN UNIT 309
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City | ORLANDO
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State | FL
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Zip | 32824-5172
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Country | US
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Telephone | 787-429-3535
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH15551
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License Number State | FL
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