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General NPI Number Information
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NPI Number | 1316536675
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Entity Type | Individual
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Provider Name | MRS. LUCIA ROSARIO
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Gender | Female
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Dates
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Enumeration Date | 01/12/2021
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Last Update Date | 01/12/2021
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Provider Practice Location Address
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Address Line | 8844 SW 176TH TER BAY 33157
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City | PALMETTO BAY
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State | FL
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Zip | 33157-5801
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Country | US
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Telephone | 305-972-7836
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Fax | 305-735-6481
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Provider Business Mailing Address
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Address Line | 8844 SW 176TH TER
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City | PALMETTO BAY
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State | FL
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Zip | 33157-5801
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Country | US
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Telephone | 305-972-7836
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Fax | 305-735-6481
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 3295
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License Number State | FL
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