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General NPI Number Information
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NPI Number | 1578972162
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Entity Type | Individual
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Provider Name | DAYRA LICIER-OQUENDO M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/07/2014
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 14 W GORE ST
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City | ORLANDO
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State | FL
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Zip | 32806-1114
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Country | US
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Telephone | 321-842-6671
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Fax | 321-843-6447
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Provider Business Mailing Address
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Address Line | 14 W GORE ST
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City | ORLANDO
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State | FL
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Zip | 32806-1114
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Country | US
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Telephone | 321-842-6671
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Fax | 321-843-6447
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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 | 2084N0402X
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Taxonomy Name | Neurology with Special Qualifications in Child Neurology Physician
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License Number | ME150462
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License Number State | FL
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