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NPI 1457405995

NPI 1457405995 : FLOR S DE LA CADENA M.D. : NEW YORK, NY

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General NPI Number Information
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    NPI Number           |    1457405995
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    Entity Type          |    Individual 
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    Provider Name        |    FLOR S DE LA CADENA M.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/22/2007
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    Last Update Date     |    02/07/2012
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Provider Practice Location Address
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    Address Line         |    160 WADSWORTH AVE SUITE #1
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10033-3821
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    Country              |    US
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    Telephone            |    212-928-5468
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    258 BRADY AVE 
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    City                 |    HAWTHORNE
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    State                |    NY
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    Zip                  |    10532-1826
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    Country              |    US
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    Telephone            |    212-928-5468
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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        |    2080A0000X
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    Taxonomy Name        |    Pediatric Adolescent Medicine Physician
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    License Number       |    136960
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    License Number State |    NY
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