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General NPI Number Information
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NPI Number | 1477661072
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Entity Type | Individual
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Provider Name | LIANE MARIE LINDO PA-C,, MMS
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Gender | Female
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Dates
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Enumeration Date | 08/25/2006
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Last Update Date | 12/26/2007
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Provider Practice Location Address
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Address Line | 13221 SW 42ND ST
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City | MIRAMAR
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State | FL
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Zip | 33027-3109
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Country | US
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Telephone | 305-829-4240
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Fax | 305-829-4240
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Provider Business Mailing Address
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Address Line | 5780 S UNIVERSITY DR 102
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City | DAVIE
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State | FL
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Zip | 33328-6103
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Country | US
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Telephone | 786-262-2685
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Fax | 954-434-1108
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA9103546
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License Number State | FL
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