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General NPI Number Information
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NPI Number | 1376834820
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Entity Type | Individual
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Provider Name | DR. DIANA CARDONA-GRAU
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Gender | Female
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Dates
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Enumeration Date | 05/02/2011
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 1725 COOK AVE
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City | ORLANDO
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State | FL
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Zip | 32806-2911
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Country | US
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Telephone | 321-843-9017
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Fax | 321-843-9019
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Provider Business Mailing Address
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Address Line | 1725 COOK AVE
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City | ORLANDO
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State | FL
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Zip | 32806-2911
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Country | US
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Telephone | 321-843-9017
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Fax | 321-843-9019
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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 | 2088P0231X
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Taxonomy Name | Pediatric Urology Physician
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License Number | ME135480
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2088P0231X
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Taxonomy Name | Pediatric Urology Physician
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License Number | V6774
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License Number State | TX
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