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General NPI Number Information
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NPI Number | 1982103586
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Entity Type | Individual
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Provider Name | MELISSA M CARDENAS FNP-C
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Gender | Female
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Dates
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Enumeration Date | 02/08/2018
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Last Update Date | 09/04/2024
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Provider Practice Location Address
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Address Line | 10515 W SANTA FE DR
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City | SUN CITY
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State | AZ
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Zip | 85351-3020
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Country | US
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Telephone | 623-832-6530
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Fax | 623-832-6504
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Provider Business Mailing Address
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Address Line | 10515 W SANTA FE DR
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City | SUN CITY
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State | AZ
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Zip | 85351-3020
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Country | US
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Telephone | 623-832-6530
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Fax | 623-832-6504
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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 | 163WX0200X
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Taxonomy Name | Oncology Registered Nurse
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License Number | RN145115
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP11300
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License Number State | AZ
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