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General NPI Number Information
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NPI Number | 1215603501
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Entity Type | Individual
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Provider Name | ANDREINA PADRON MD
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Gender | Female
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Dates
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Enumeration Date | 08/18/2021
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Last Update Date | 10/28/2024
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Provider Practice Location Address
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Address Line | 8958 CONROY WINDERMERE RD
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City | ORLANDO
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State | FL
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Zip | 32835-3128
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Country | US
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Telephone | 352-259-2159
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Fax | 352-259-5731
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Provider Business Mailing Address
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Address Line | 1580 SANTA BARBARA BLVD
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City | THE VILLAGES
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State | FL
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Zip | 32159-6827
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Country | US
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Telephone | 352-259-2159
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Fax | 352-259-5731
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 15927-I
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ACN1635
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License Number State | FL
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