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General NPI Number Information
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NPI Number | 1427702943
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Entity Type | Organization
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Legal Business Name | LORENZO'S ENTERPRISES GROUP INC
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Dates
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Enumeration Date | 02/04/2022
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Last Update Date | 02/04/2022
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Provider Practice Location Address
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Address Line | 9485 SW 180TH ST
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City | PALMETTO BAY
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State | FL
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Zip | 33157-5621
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Country | US
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Telephone | 305-219-3856
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Fax | 866-623-4407
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Provider Business Mailing Address
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Address Line | 9485 SW 180TH ST
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City | PALMETTO BAY
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State | FL
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Zip | 33157-5621
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Country | US
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Telephone | 305-378-0865
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Fax | 866-623-4407
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Authorized Official
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Title or Position | DIRECTOR/OWNER
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Name | CLARA ROMERO
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Credential |
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Telephone | 305-219-3856
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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