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General NPI Number Information
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NPI Number | 1295841773
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Entity Type | Individual
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Provider Name | LUIS H LUGO-ARRENDELL M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/21/2006
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Last Update Date | 01/12/2009
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Provider Practice Location Address
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Address Line | 17890 NW 2ND ST
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City | PEMBROKE PINES
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State | FL
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Zip | 33029-2806
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Country | US
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Telephone | 954-442-6090
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Fax | 954-442-0070
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Provider Business Mailing Address
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Address Line | 1840 W 49TH ST SUITE 510
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City | HIALEAH
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State | FL
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Zip | 33012-2942
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Country | US
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Telephone | 305-821-4555
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Fax | 305-821-4563
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME0066805
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License Number State | FL
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