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General NPI Number Information
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NPI Number | 1609492685
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Entity Type | Individual
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Provider Name | LUIS ALBERTO CARDENAS APRN
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Gender | Male
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Dates
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Enumeration Date | 06/24/2020
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Last Update Date | 11/15/2024
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Provider Practice Location Address
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Address Line | 139 N REDLAND RD STE 5
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City | FLORIDA CITY
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State | FL
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Zip | 33034-3105
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Country | US
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Telephone | 305-269-7887
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Fax | 786-650-2968
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Provider Business Mailing Address
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Address Line | 6440 SW 39TH TER
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City | MIAMI
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State | FL
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Zip | 33155-4820
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Country | US
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Telephone | 305-879-6834
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN11007762
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License Number State | FL
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