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General NPI Number Information
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NPI Number | 1679764252
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Entity Type | Individual
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Provider Name | CAROLINA PRADERIO M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/07/2007
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 5826 ESPLANADE DR STE 101
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City | CORPUS CHRISTI
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State | TX
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Zip | 78414-4208
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Country | US
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Telephone | 361-991-9356
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Fax | 844-717-5672
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Provider Business Mailing Address
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Address Line | 5826 ESPLANADE DR STE 101
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City | CORPUS CHRISTI
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State | TX
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Zip | 78414-4208
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Country | US
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Telephone | 361-991-9356
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Fax | 844-717-5672
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | N7573
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License Number State | TX
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