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General NPI Number Information
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NPI Number | 1467846295
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Entity Type | Individual
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Provider Name | LUDMILA DE LA CONCEPCION MD
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Gender | Female
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Dates
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Enumeration Date | 03/18/2015
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Last Update Date | 12/12/2024
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Provider Practice Location Address
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Address Line | 8400 NW 33RD ST
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City | DORAL
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State | FL
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Zip | 33122-2008
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Country | US
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Telephone | 844-665-4827
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Fax |
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Provider Business Mailing Address
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Address Line | 12801 SW 148TH STREET RD
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City | MIAMI
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State | FL
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Zip | 33186-6317
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Country | US
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Telephone | 862-267-5887
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME141266
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 300576
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License Number State | NY
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