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General NPI Number Information
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NPI Number | 1033383211
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Entity Type | Organization
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Legal Business Name | ELIZABETH LOPEZ MD PA
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Dates
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Enumeration Date | 04/17/2008
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Last Update Date | 08/06/2008
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Provider Practice Location Address
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Address Line | 3383 NW 7TH ST SUITE 213
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City | MIAMI
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State | FL
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Zip | 33125-4140
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Country | US
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Telephone | 305-642-7212
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Fax |
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Provider Business Mailing Address
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Address Line | 35C VENETIAN WAY APT 103
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City | MIAMI BEACH
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State | FL
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Zip | 33139-8836
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Country | US
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Telephone | 786-493-5190
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Fax |
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Authorized Official
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Title or Position | DOCTOR
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Name | ELIZABETH LOPEZ
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Credential | M.D.
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Telephone | 786-493-5190
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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 |
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License Number State |
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