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General NPI Number Information
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NPI Number | 1982812335
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Entity Type | Organization
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Legal Business Name | EDWIN CORDERO, MD, PA
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Dates
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Enumeration Date | 05/18/2007
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Last Update Date | 09/26/2011
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Provider Practice Location Address
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Address Line | 100 NE 15TH ST STE 101
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City | HOMESTEAD
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State | FL
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Zip | 33030-4581
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Country | US
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Telephone | 305-245-8050
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Fax | 305-245-5950
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Provider Business Mailing Address
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Address Line | 9350 SW 72ND ST
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City | MIAMI
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State | FL
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Zip | 33173-3286
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Country | US
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Telephone | 305-274-0780
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Fax | 888-781-7177
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Authorized Official
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Title or Position | OWNER
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Name | EDWIN CORDERO
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Credential | M.D.
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Telephone | 305-274-0780
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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