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General NPI Number Information
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NPI Number | 1548073398
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Entity Type | Individual
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Provider Name | LIGNELL DANIELA CUELLO PEREZ
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Gender | Female
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Dates
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Enumeration Date | 01/27/2025
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Last Update Date | 01/27/2025
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Provider Practice Location Address
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Address Line | 6335 CONTESSA DR APT 104
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City | ORLANDO
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State | FL
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Zip | 32829-8004
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Country | US
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Telephone | 407-683-1383
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Fax |
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Provider Business Mailing Address
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Address Line | 1627 E VINE ST STE 205D
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City | KISSIMMEE
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State | FL
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Zip | 34744-3719
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Country | US
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Telephone | 407-577-8150
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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