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General NPI Number Information
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NPI Number | 1447427778
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Entity Type | Individual
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Provider Name | LORENA SHIRLEE CHICOYE MD
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Gender | Female
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Dates
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Enumeration Date | 05/15/2008
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Last Update Date | 05/15/2008
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Provider Practice Location Address
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Address Line | 8500 SW 117TH RD
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City | MIAMI
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State | FL
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Zip | 33183-4841
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Country | US
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Telephone | 786-594-6470
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Fax | 786-594-6233
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Provider Business Mailing Address
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Address Line | 3596 SW 143RD AVE
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City | MIRAMAR
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State | FL
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Zip | 33027-4704
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Country | US
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Telephone | 786-594-6470
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Fax | 786-594-6233
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME 80595
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License Number State | FL
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