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General NPI Number Information
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NPI Number | 1992689715
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Entity Type | Individual
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Provider Name | JORGE LUIS MORALES CARDONA ND
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Gender | Male
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Dates
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Enumeration Date | 08/04/2025
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 8348 LEMONT RD
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City | DARIEN
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State | IL
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Zip | 60561-1510
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Country | US
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Telephone | 630-442-0169
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Fax |
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Provider Business Mailing Address
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Address Line | 18W070 ROYCE BLVD APT 118
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City | OAKBROOK TERRACE
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State | IL
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Zip | 60181-4166
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Country | US
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Telephone | 817-705-3144
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Fax | 817-705-3144
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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 | 175F00000X
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Taxonomy Name | Naturopath
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License Number |
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License Number State |
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