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General NPI Number Information
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NPI Number | 1184597874
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Entity Type | Individual
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Provider Name | DAVID EDUARDO LORA
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Gender | Male
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Dates
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Enumeration Date | 09/29/2025
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 8765 S DIXIE HWY
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City | PINECREST
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State | FL
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Zip | 33156-1111
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Country | US
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Telephone | 305-740-6840
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Fax |
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Provider Business Mailing Address
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Address Line | 14702 SW 42ND WAY
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City | MIAMI
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State | FL
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Zip | 33185-4300
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Country | US
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Telephone | 305-989-3237
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Fax |
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | RPT105392
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License Number State | FL
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