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General NPI Number Information
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NPI Number | 1386037224
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Entity Type | Individual
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Provider Name | JOSE CARDOSO D.O
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Gender | Male
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Dates
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Enumeration Date | 03/17/2015
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Last Update Date | 11/02/2021
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Provider Practice Location Address
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Address Line | 671 GOODLETTE-FRANK RD N STE 230
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City | NAPLES
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State | FL
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Zip | 34102-5615
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Country | US
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Telephone | 239-304-9501
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Fax | 239-692-8486
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Provider Business Mailing Address
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Address Line | 671 GOODLETTE-FRANK RD N STE 230
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City | NAPLES
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State | FL
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Zip | 34102-5615
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Country | US
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Telephone | 239-304-9501
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Fax | 855-707-1410
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | OS15215
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License Number State | FL
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