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General NPI Number Information
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NPI Number | 1619925716
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Entity Type | Individual
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Provider Name | ANA C OQUENDO MD
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Gender | Female
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Dates
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Enumeration Date | 05/04/2006
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Last Update Date | 06/19/2008
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Provider Practice Location Address
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Address Line | 4156 5TH AVE N
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City | SAINT PETERSBURG
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State | FL
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Zip | 33713-6304
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Country | US
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Telephone | 727-327-2714
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Fax | 727-683-9921
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Provider Business Mailing Address
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Address Line | 4156 5TH AVE N
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City | SAINT PETERSBURG
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State | FL
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Zip | 33713-6304
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Country | US
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Telephone | 727-327-2714
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Fax | 727-683-9921
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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 | 173000000X
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Taxonomy Name | Legal Medicine
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License Number | ME0060595
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License Number State | FL
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