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General NPI Number Information
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NPI Number | 1962886788
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Entity Type | Individual
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Provider Name | ESTEBAN CARDONNE M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/10/2015
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Last Update Date | 01/30/2025
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Provider Practice Location Address
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Address Line | 1633 POINCIANA DR
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City | PEMBROKE PINES
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State | FL
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Zip | 33025-4587
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Country | US
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Telephone | 800-443-3784
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Fax |
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Provider Business Mailing Address
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Address Line | 6705 S RED RD STE 611
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-3649
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Country | US
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Telephone | 305-202-4768
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Fax | 916-249-0695
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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 | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | ME151889
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ME151889
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License Number State | FL
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