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General NPI Number Information
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NPI Number | 1164625067
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Entity Type | Organization
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Legal Business Name | LOURDES NUNEZ MD PA
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Dates
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Enumeration Date | 06/07/2007
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Last Update Date | 09/21/2011
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Provider Practice Location Address
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Address Line | 12002 SW 128TH CT SUITE 210
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City | MIAMI
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State | FL
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Zip | 33186-4639
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Country | US
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Telephone | 305-234-8321
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Fax | 305-234-8358
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Provider Business Mailing Address
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Address Line | 12002 SW 128TH CT SUITE 210
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City | MIAMI
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State | FL
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Zip | 33186-4639
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Country | US
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Telephone | 305-234-8321
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Fax | 305-234-8358
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. KAREM TORIBIO
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Credential |
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Telephone | 305-234-8321
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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 | ME60074
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License Number State | FL
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