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General NPI Number Information
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NPI Number | 1679699946
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Entity Type | Individual
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Provider Name | RAFAEL E CARDELLA M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/21/2007
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Last Update Date | 07/31/2019
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Provider Practice Location Address
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Address Line | 7887 N. KENDALL DRIVE SUITE 102
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City | MIAMI
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State | FL
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Zip | 33156
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Country | US
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Telephone | 305-279-7722
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Fax | 305-279-2090
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Provider Business Mailing Address
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Address Line | 4483 N.W. 36H STREET SUITE 120
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City | MIAMI SPRINGS
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State | FL
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Zip | 33166
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Country | US
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Telephone | 305-888-7555
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Fax | 954-522-6077
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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 | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number | 0038983
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number | ME38983
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License Number State | FL
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