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General NPI Number Information
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NPI Number | 1720477946
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Entity Type | Organization
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Legal Business Name | JOSE I CARDENAS MD PA
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Dates
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Enumeration Date | 01/12/2015
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Last Update Date | 01/12/2015
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Provider Practice Location Address
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Address Line | 1416 E ROBINSON ST
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City | ORLANDO
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State | FL
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Zip | 32801-2120
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Country | US
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Telephone | 407-482-8892
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Fax | 407-482-7983
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Provider Business Mailing Address
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Address Line | 1416 E ROBINSON ST
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City | ORLANDO
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State | FL
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Zip | 32801-2120
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Country | US
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Telephone | 407-482-8892
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Fax | 407-482-7983
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOSE I CARDENAS
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Credential | MD
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Telephone | 407-482-8892
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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 | ME 82250
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License Number State | FL
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