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General NPI Number Information
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NPI Number | 1568828606
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Entity Type | Organization
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Legal Business Name | CHARINA YANGO-CADAVOS LLC
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Dates
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Enumeration Date | 01/05/2016
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Last Update Date | 12/13/2021
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Provider Practice Location Address
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Address Line | 1333 3RD AVE S STE 506
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City | NAPLES
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State | FL
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Zip | 34102-6538
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Country | US
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Telephone | 239-304-8040
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Fax |
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Provider Business Mailing Address
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Address Line | 6696 MARBELLA LN
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City | NAPLES
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State | FL
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Zip | 34105-5030
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHARINA YANGO-CADAVOS
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Credential | MD
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Telephone | 816-550-0646
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME97998
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License Number State | FL
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