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General NPI Number Information
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NPI Number | 1558315093
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Entity Type | Individual
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Provider Name | MARGARIDA MARIA SOARES LANCE M.D
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Gender | Female
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Dates
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Enumeration Date | 05/20/2006
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Last Update Date | 12/07/2016
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Provider Practice Location Address
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Address Line | 2020 26TH AVE E
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City | BRADENTON
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State | FL
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Zip | 34208-7753
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Country | US
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Telephone | 941-782-4600
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Fax | 941-782-4601
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Provider Business Mailing Address
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Address Line | 1749 LINCOLN PARK CIR
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City | SARASOTA
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State | FL
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Zip | 34236-8446
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Country | US
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Telephone | 561-339-5702
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | ME 92796
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207RA0401X
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Taxonomy Name | Addiction Medicine (Internal Medicine) Physician
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License Number | ME92796
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License Number State | FL
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