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General NPI Number Information
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NPI Number | 1205007671
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Entity Type | Organization
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Legal Business Name | JOHN LOZANO MD PA
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Dates
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Enumeration Date | 03/13/2008
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Last Update Date | 03/13/2008
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Provider Practice Location Address
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Address Line | 14100 FIVAY RD SUITE 170
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City | HUDSON
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State | FL
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Zip | 34667-7180
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Country | US
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Telephone | 727-869-2285
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Fax |
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Provider Business Mailing Address
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Address Line | 14100 FIVAY RD SUITE 170
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City | HUDSON
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State | FL
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Zip | 34667-7180
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Country | US
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Telephone | 727-869-2285
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | JOHN J LOZANO
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Credential | MD
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Telephone | 727-869-2285
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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