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General NPI Number Information
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NPI Number | 1013420454
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Entity Type | Individual
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Provider Name | LILIANA CASALS ARNP
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Gender | Female
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Dates
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Enumeration Date | 11/07/2017
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Last Update Date | 11/07/2017
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Provider Practice Location Address
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Address Line | 1150 N 35TH AVE STE 240
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City | HOLLYWOOD
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State | FL
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Zip | 33021-5424
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Country | US
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Telephone | 954-362-3426
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Fax |
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Provider Business Mailing Address
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Address Line | 4501 NW 176TH TER
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City | MIAMI GARDENS
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State | FL
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Zip | 33055-3740
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Country | US
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Telephone | 786-422-3725
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Fax |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | ARNP9327662
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License Number State | FL
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