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General NPI Number Information
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NPI Number | 1336304559
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Entity Type | Individual
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Provider Name | JAIME CADENA DMD
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Gender | Male
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Dates
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Enumeration Date | 07/28/2008
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Last Update Date | 09/22/2018
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Provider Practice Location Address
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Address Line | 133 TERRA MANGO LOOP STE 100
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City | ORLANDO
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State | FL
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Zip | 32835-8509
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Country | US
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Telephone | 407-522-7989
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Fax |
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Provider Business Mailing Address
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Address Line | 2916 VINELAND RD
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City | KISSIMMEE
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State | FL
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Zip | 34746-5503
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Country | US
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Telephone | 407-390-9113
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DN18299
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License Number State | FL
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