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General NPI Number Information
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NPI Number | 1265466759
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Entity Type | Individual
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Provider Name | DAVID WAYNE CARDONA MD
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Gender | Male
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 12/31/2019
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Provider Practice Location Address
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Address Line | 1300 N FRESNO ST SUITE #220
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City | FRESNO
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State | CA
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Zip | 93703-3843
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Country | US
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Telephone | 559-495-6758
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Fax | 559-495-6788
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Provider Business Mailing Address
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Address Line | 1300 N FRESNO ST STE 220
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City | FRESNO
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State | CA
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Zip | 93703-3843
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Country | US
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Telephone | 559-495-6745
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Fax | 559-495-6705
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | G69949
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License Number State | CA
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