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General NPI Number Information
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NPI Number | 1780430405
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Entity Type | Individual
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Provider Name | MERCEDES MARCELA CARDENAS ONA M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/24/2024
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Last Update Date | 03/06/2025
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Provider Practice Location Address
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Address Line | 263 FARMINGTON AVENUE INTERNAL MEDICINE RESIDENCY PROGRAM
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City | FARMINGTON
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State | CT
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Zip | 06030
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Country | US
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Telephone | 860-679-2147
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Fax | 860-679-4624
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Provider Business Mailing Address
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Address Line | CAMINOS DEL INCA 145 D-12
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City | LIMA
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State | LIMA
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Zip | 15086
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Country | PE
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Telephone |
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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