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General NPI Number Information
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NPI Number | 1023500303
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Entity Type | Individual
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Provider Name | LEA REMOLONA M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/04/2018
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Last Update Date | 06/17/2022
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Provider Practice Location Address
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Address Line | 5030 CHAMPION BLVD SUITE G-II 231
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City | BOCA RATON
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State | FL
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Zip | 33496
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Country | US
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Telephone | 770-815-1962
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Fax | 916-581-8710
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Provider Business Mailing Address
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Address Line | 5030 CHAMPION BLVD SUITE G-II BOX 231
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City | BOCA RATON
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State | FL
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Zip | 33496
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Country | US
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Telephone | 786-563-3305
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Fax | 916-581-8710
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ME142014
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License Number State | FL
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