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General NPI Number Information
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NPI Number | 1386362218
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Entity Type | Organization
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Legal Business Name | CHALDEAN-CARE INFECTIOUS DISEASES LLC
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Dates
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Enumeration Date | 08/17/2022
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Last Update Date | 01/10/2025
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Provider Practice Location Address
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Address Line | 830 29TH ST
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City | ORLANDO
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State | FL
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Zip | 32805-6219
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Country | US
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Telephone | 321-972-8905
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Fax | 312-972-8945
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Provider Business Mailing Address
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Address Line | 4300 W LAKE MARY BLVD STE 1010 PMB 135
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City | LAKE MARY
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State | FL
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Zip | 32746-2449
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Country | US
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Telephone | 321-972-8905
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Fax | 312-972-8945
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Authorized Official
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Title or Position | OWNER
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Name | DIANE C VANHORNE-PADILLA
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Credential | MD
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Telephone | 956-655-3078
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number |
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License Number State |
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