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General NPI Number Information
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NPI Number | 1366521700
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Entity Type | Organization
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Legal Business Name | CECILIA PANLILIO PINEDA MD CORP
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Dates
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Enumeration Date | 11/05/2006
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Last Update Date | 09/25/2012
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Provider Practice Location Address
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Address Line | 2959 ALAFAYA TRL 117
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City | OVIEDO
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State | FL
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Zip | 32765-9482
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Country | US
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Telephone | 407-365-0800
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Fax | 407-365-7240
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Provider Business Mailing Address
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Address Line | P.O. BOX 2342
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City | WINDERMERE
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State | FL
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Zip | 34786-2342
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Country | US
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Telephone | 407-365-0800
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Fax | 407-365-7240
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CECILIA PANLILIO PINEDA
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Credential | M.D
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Telephone | 407-365-0800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | ME0071198
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License Number State | FL
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