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General NPI Number Information
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NPI Number | 1245519487
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Entity Type | Individual
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Provider Name | LYMARIE CRISTINA ROSADO BARRERAS M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/05/2011
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 611 W PARK ST
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City | URBANA
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State | IL
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Zip | 61801-2501
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Country | US
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Telephone | 217-383-3100
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Fax | 217-383-4468
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Provider Business Mailing Address
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Address Line | 611 W PARK ST
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City | URBANA
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State | IL
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Zip | 61801-2501
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Country | US
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Telephone | 217-383-3100
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Fax | 217-383-4468
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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 | 2080P0203X
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Taxonomy Name | Pediatric Critical Care Medicine Physician
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License Number | 18659
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 036.145256
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 2080P0203X
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Taxonomy Name | Pediatric Critical Care Medicine Physician
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License Number | 036.145256
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License Number State | IL
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