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General NPI Number Information
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NPI Number | 1922877992
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Entity Type | Individual
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Provider Name | JENNELY CARDONA
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Gender | Female
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Dates
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Enumeration Date | 01/01/2024
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Last Update Date | 10/06/2026
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Provider Practice Location Address
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Address Line | 2-6 MUNOZ RIVERA FERRER ST
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City | GUAYNABO
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State | PR
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Zip | 00969-3606
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Country | US
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Telephone | 787-402-7304
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Fax |
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Provider Business Mailing Address
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Address Line | G9 CALLE LIRIO URB CARIBE GARDENS
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City | CAGUAS
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State | PR
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Zip | 00725
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Country | US
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Telephone | 787-469-8857
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 1820
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 88329
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License Number State | TX
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