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General NPI Number Information
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NPI Number | 1265824080
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Entity Type | Individual
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Provider Name | OSMANY LORENZO
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Gender | Male
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Dates
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Enumeration Date | 03/03/2015
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Last Update Date | 03/03/2015
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Provider Practice Location Address
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Address Line | 10241 SW 134TH AVE
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City | MIAMI
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State | FL
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Zip | 33186-2861
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Country | US
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Telephone | 305-383-0622
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Fax | 786-797-7298
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Provider Business Mailing Address
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Address Line | 10241 SW 134TH AVE
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City | MIAMI
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State | FL
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Zip | 33186-2861
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Country | US
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Telephone | 305-383-0022
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Fax | 786-797-7298
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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | AL11099
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License Number State | FL
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