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General NPI Number Information
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NPI Number | 1902673387
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Entity Type | Organization
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Legal Business Name | CARDENAS HEALTHCARE GROUP INC
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Dates
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Enumeration Date | 12/06/2023
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Last Update Date | 12/06/2023
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Provider Practice Location Address
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Address Line | 23503 SW 108TH AVE
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City | HOMESTEAD
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State | FL
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Zip | 33032-6290
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Country | US
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Telephone | 786-387-0234
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Fax |
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Provider Business Mailing Address
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Address Line | 23503 SW 108TH AVE
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City | HOMESTEAD
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State | FL
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Zip | 33032-6290
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Country | US
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Telephone | 786-387-0234
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JANNET E. PEREZ CARDENAS
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Credential | ARPN
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Telephone | 786-387-0234
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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