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General NPI Number Information
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NPI Number | 1831549617
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Entity Type | Individual
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Provider Name | AMANDA CACERES
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Gender | Female
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Dates
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Enumeration Date | 06/13/2016
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Last Update Date | 05/28/2019
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Provider Practice Location Address
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Address Line | 3438 LAWTON RD STE 200F
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City | ORLANDO
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State | FL
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Zip | 32803-2948
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Country | US
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Telephone | 407-868-8481
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Fax | 407-751-2867
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Provider Business Mailing Address
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Address Line | PO BOX 25317
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City | TAMPA
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State | FL
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Zip | 33622-5317
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Country | US
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Telephone | 813-286-0033
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Fax | 813-282-1806
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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 | 170300000X
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Taxonomy Name | Genetic Counselor (M.S.)
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License Number |
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License Number State |
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