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General NPI Number Information
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NPI Number | 1255675484
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Entity Type | Individual
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Provider Name | CINDY G KUDLEY ARNP
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Gender | Female
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Dates
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Enumeration Date | 11/09/2012
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 12301 LAKE UNDERHILL RD STE 215
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City | ORLANDO
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State | FL
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Zip | 32828-4511
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Country | US
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Telephone | 321-235-0692
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Fax | 321-235-0694
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Provider Business Mailing Address
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Address Line | 12301 LAKE UNDERHILL RD STE 215
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City | ORLANDO
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State | FL
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Zip | 32828-4511
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Country | US
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Telephone | 321-235-0692
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Fax | 321-235-0694
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 804769
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163WI0500X
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Taxonomy Name | Infusion Therapy Registered Nurse
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License Number | RN3056612
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | ARNP3056612
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License Number State | FL
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