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General NPI Number Information
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NPI Number | 1235130501
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Entity Type | Individual
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Provider Name | JAVIER G LUGO MD
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Gender | Male
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Dates
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Enumeration Date | 08/09/2005
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Last Update Date | 05/13/2008
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Provider Practice Location Address
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Address Line | 4081 TAMIAMI TRL N STE C101
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City | NAPLES
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State | FL
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Zip | 34103-8738
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Country | US
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Telephone | 239-263-4133
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Fax | 239-263-4189
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Provider Business Mailing Address
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Address Line | 4081 TAMIAMI TRL N SUITE C101
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City | NAPLES
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State | FL
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Zip | 34103-8738
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Country | US
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Telephone | 239-263-4133
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Fax | 239-263-4189
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 65726
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License Number State | FL
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