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General NPI Number Information
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NPI Number | 1902090178
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Entity Type | Individual
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Provider Name | CARLOS MIGUEL MENDEZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/30/2007
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Last Update Date | 08/25/2015
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Provider Practice Location Address
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Address Line | 1750 SW HEALTH PKWY
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City | NAPLES
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State | FL
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Zip | 34109-0518
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Country | US
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Telephone | 239-431-5767
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Fax | 239-431-5087
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Provider Business Mailing Address
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Address Line | PO BOX 110189
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City | NAPLES
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State | FL
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Zip | 34108-0104
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Country | US
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Telephone | 239-431-5767
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Fax | 239-431-5087
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD.200916
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 200916
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | ME123361
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME123361
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License Number State | FL
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