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General NPI Number Information
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NPI Number | 1952629974
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Entity Type | Individual
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Provider Name | SHERLY PARDO-REOYO M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/14/2010
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Last Update Date | 09/06/2016
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Provider Practice Location Address
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Address Line | ONE GUSTAVE L LEVY PLACE
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City | NEW YORK
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State | NY
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Zip | 10029
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Country | US
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Telephone | 212-241-3313
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Fax | 347-275-8364
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Provider Business Mailing Address
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Address Line | UAB HAZELRIG SALTER RADIATION CTR 176F RM 2232M 619 19TH ST S
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City | BIRMINGHAM
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State | AL
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Zip | 35249-0001
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Country | US
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Telephone | 212-241-3313
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Fax | 347-275-8364
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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 | 207SC0300X
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Taxonomy Name | Clinical Cytogenetics Physician
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License Number | 17303
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 207SG0201X
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Taxonomy Name | Clinical Genetics (M.D.) Physician
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License Number | 235310
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 35164
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License Number State | AL
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