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General NPI Number Information
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NPI Number | 1467366757
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Entity Type | Individual
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Provider Name | MARIELA LUCILA LOPEZ APONTE LDO
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Gender | Female
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Dates
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Enumeration Date | 10/01/2026
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Last Update Date | 10/02/2026
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Provider Practice Location Address
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Address Line | 16313 NEW INDEPENDENCE PKWY
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City | WINTER GARDEN
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State | FL
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Zip | 34787-8113
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Country | US
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Telephone | 407-554-0179
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Fax | 407-877-9007
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Provider Business Mailing Address
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Address Line | 2054 REDBAY AVE
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City | MINNEOLA
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State | FL
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Zip | 34715-6082
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Country | US
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Telephone |
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Fax |
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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 | 156FX1800X
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Taxonomy Name | Optician
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License Number | DO8063
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License Number State | FL
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