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General NPI Number Information
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NPI Number | 1114176286
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Entity Type | Organization
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Legal Business Name | LILIANNE SOBRADO M D P A
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Dates
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Enumeration Date | 09/15/2008
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Last Update Date | 03/09/2009
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Provider Practice Location Address
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Address Line | 8525 SW 92ND ST SUITE D 17
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City | MIAMI
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State | FL
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Zip | 33156-7365
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Country | US
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Telephone | 305-270-0402
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Fax | 305-595-6179
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Provider Business Mailing Address
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Address Line | 8525 SW 92ND ST SUITE D 17
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City | MIAMI
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State | FL
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Zip | 33156-7365
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Country | US
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Telephone | 305-270-0402
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Fax | 305-595-6179
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LILIANNE SOBRADO
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Credential | M.D.
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Telephone | 305-270-0402
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | ME0056370
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License Number State | FL
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