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General NPI Number Information
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NPI Number | 1538341789
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Entity Type | Organization
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Legal Business Name | LUIS J LOPEZ MD PA
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Dates
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Enumeration Date | 11/29/2007
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Last Update Date | 09/23/2024
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Provider Practice Location Address
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Address Line | 4700 N. HABANA AVE SUITE 701
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City | TAMPA
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State | FL
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Zip | 33614-7122
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Country | US
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Telephone | 813-324-5888
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Fax | 813-374-8891
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Provider Business Mailing Address
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Address Line | 4700 N HABANA AVE STE 701
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City | TAMPA
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State | FL
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Zip | 33614-7122
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Country | US
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Telephone | 813-324-5888
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Fax | 813-374-8891
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Authorized Official
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Title or Position | PHYSICIAN
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Name | MR. LUIS J LOPEZ
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Credential | MD
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Telephone | 813-792-9752
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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