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General NPI Number Information
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NPI Number | 1457632085
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Entity Type | Organization
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Legal Business Name | RENE L. LOPEZ-GUERRERO, M.D., P.A.
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Dates
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Enumeration Date | 09/09/2011
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Last Update Date | 09/10/2011
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Provider Practice Location Address
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Address Line | 3445 NW 7TH ST
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City | MIAMI
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State | FL
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Zip | 33125-4013
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Country | US
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Telephone | 305-643-0133
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Fax | 305-643-1728
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Provider Business Mailing Address
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Address Line | 3445 NW 7TH ST
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City | MIAMI
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State | FL
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Zip | 33125-4013
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Country | US
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Telephone | 305-643-0133
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Fax | 305-643-1728
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Authorized Official
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Title or Position | PHYSICIAN OWNER
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Name | DR. RENE LUIS LOPEZ-GUERRERO
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Credential | M.D.
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Telephone | 305-643-0133
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | ME49266
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License Number State | FL
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