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General NPI Number Information
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NPI Number | 1306170444
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Entity Type | Individual
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Provider Name | ALEX R CARDENAS M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/22/2009
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Last Update Date | 06/26/2018
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Provider Practice Location Address
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Address Line | 75 PRINGLE WAY STE 1002
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City | RENO
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State | NV
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Zip | 89502
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Country | US
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Telephone | 775-323-7500
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Fax | 775-789-9208
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Provider Business Mailing Address
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Address Line | 75 PRINGLE WAY STE 1002
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City | RENO
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State | NV
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Zip | 89502-1475
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Country | US
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Telephone | 775-323-7500
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Fax | 775-789-9208
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 4301107424
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | AU-25035999616
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License Number State | AZ
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