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General NPI Number Information
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NPI Number | 1538041140
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Entity Type | Individual
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Provider Name | LILY ESTRADA
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Gender | Female
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Dates
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Enumeration Date | 07/24/2025
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 1951 NW 7TH AVE
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City | MIAMI
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State | FL
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Zip | 33136-1104
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Country | US
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Telephone | 305-902-6347
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Fax |
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Provider Business Mailing Address
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Address Line | 7333 WILDCAT DR
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City | CANUTILLO
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State | TX
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Zip | 79835-6445
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Country | US
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Telephone | 915-244-2508
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 111932
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | SWB-2023-1202
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License Number State | NM
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