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General NPI Number Information
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NPI Number | 1073018404
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Entity Type | Individual
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Provider Name | LILIAN EFFAT AWAD DO
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Gender | Female
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Dates
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Enumeration Date | 03/27/2018
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Last Update Date | 06/17/2024
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Provider Practice Location Address
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Address Line | 231 E CHESTNUT ST
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City | LOUISVILLE
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State | KY
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Zip | 40202-1821
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Country | US
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Telephone | 502-629-6000
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Fax | 502-272-5116
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Provider Business Mailing Address
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Address Line | PO BOX 776879
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City | CHICAGO
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State | IL
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Zip | 60677-6879
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Country | US
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Telephone | 502-588-9490
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Fax | 502-272-5116
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 5101026068
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 2080P0204X
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Taxonomy Name | Pediatric Emergency Medicine (Pediatrics) Physician
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License Number | 59098
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 010607
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 59098
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License Number State | KY
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