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General NPI Number Information
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NPI Number | 1891744504
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Entity Type | Individual
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Provider Name | WALESKA OQUENDO-TIRADO M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/09/2006
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Last Update Date | 04/26/2018
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Provider Practice Location Address
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Address Line | 1100 CESERY BLVD
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City | JACKSONVILLE
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State | FL
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Zip | 32211-5674
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Country | US
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Telephone | 904-551-5884
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Fax |
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Provider Business Mailing Address
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Address Line | 12171 SW 268TH ST
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City | HOMESTEAD
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State | FL
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Zip | 33032-8001
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Country | US
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Telephone | 305-278-0200
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 10131
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License Number State | PR
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