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General NPI Number Information
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NPI Number | 1740049832
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Entity Type | Individual
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Provider Name | RODELIN CHERICHEL
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Gender | Male
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Dates
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Enumeration Date | 03/19/2024
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 1061 MEDICAL CENTER DR STE 310
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City | ORANGE CITY
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State | FL
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Zip | 32763-8227
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Country | US
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Telephone | 386-917-7833
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Fax | 386-951-0014
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Provider Business Mailing Address
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Address Line | 270 NORTHLAKE BLVD STE 1008
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32701-4335
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Country | US
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Telephone | 407-834-3300
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA9118339
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License Number State | FL
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