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General NPI Number Information
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NPI Number | 1275411803
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Entity Type | Individual
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Provider Name | LUZIELIO ALVES SIDNEY FILHO MD
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Gender | Male
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Dates
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Enumeration Date | 08/22/2025
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Last Update Date | 08/22/2025
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Provider Practice Location Address
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Address Line | 620 W 153RD ST APT 22A
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City | NEW YORK
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State | NY
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Zip | 10031-0836
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Country | US
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Telephone | 972-209-4896
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Fax |
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Provider Business Mailing Address
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Address Line | 2619 MCKINNEY AVE APT 1708
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City | DALLAS
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State | TX
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Zip | 75204-3074
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Country | US
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Telephone | 972-209-4896
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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 | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | 338880
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 204F00000X
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Taxonomy Name | Transplant Surgery Physician
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License Number | 338880
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License Number State | NY
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