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General NPI Number Information
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NPI Number | 1134581382
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Entity Type | Organization
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Legal Business Name | LOURDES M. TRIGO, M.D.,P.A.
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Dates
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Enumeration Date | 03/27/2016
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Last Update Date | 03/27/2016
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Provider Practice Location Address
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Address Line | 10070 NW 51ST LN
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City | DORAL
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State | FL
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Zip | 33178-3411
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Country | US
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Telephone | 305-401-0933
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Fax | 786-513-0493
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Provider Business Mailing Address
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Address Line | 10070 NW 51ST LN
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City | DORAL
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State | FL
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Zip | 33178-3411
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Country | US
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Telephone | 305-401-0933
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Fax | 786-513-0493
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LOURDES MARIA TRIGO
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Credential | M.D.
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Telephone | 305-401-0933
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | ME47682
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License Number State | FL
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