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General NPI Number Information
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NPI Number | 1275751000
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Entity Type | Individual
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Provider Name | MARIA TERESA CEDENO DPM
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Gender | Female
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 08/29/2022
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Provider Practice Location Address
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Address Line | 3373 PASEO CALMA
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City | TOA BAJA
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State | PR
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Zip | 00949-3112
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Country | US
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Telephone | 787-795-0845
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Fax |
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Provider Business Mailing Address
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Address Line | 613 NORTHCOAST VLG
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City | VEGA ALTA
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State | PR
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Zip | 00692-8720
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Country | US
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Telephone | 787-795-9845
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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 | 213EP1101X
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Taxonomy Name | Primary Podiatric Medicine Podiatrist
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License Number | 000092
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License Number State | PR
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