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General NPI Number Information
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NPI Number | 1932662673
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Entity Type | Individual
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Provider Name | AMAR M INGRAVERA DO
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Gender | Male
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Dates
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Enumeration Date | 04/10/2019
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Last Update Date | 08/19/2025
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Provider Practice Location Address
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Address Line | 626 1ST AVE APT W18L
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City | NEW YORK
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State | NY
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Zip | 10016-3877
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Country | US
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Telephone | 856-524-0232
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Fax |
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Provider Business Mailing Address
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Address Line | 86 W UNDERWOOD ST STE 202
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City | ORLANDO
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State | FL
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Zip | 32806-1110
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Country | US
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Telephone | 407-649-6876
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Fax | 407-872-0544
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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 | 2080P0202X
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Taxonomy Name | Pediatric Cardiology Physician
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License Number | 333364-01
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License Number State | NY
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