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General NPI Number Information
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NPI Number | 1568409894
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Entity Type | Individual
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Provider Name | JORGE GABRIEL LODEIRO MD
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Gender | Male
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Dates
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Enumeration Date | 06/02/2006
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 170 N EAGLE CREEK DR STE 110
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City | LEXINGTON
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State | KY
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Zip | 40509-9087
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Country | US
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Telephone | 859-263-0141
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Fax | 859-263-8669
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Provider Business Mailing Address
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Address Line | PO BOX 936
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City | LONDON
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State | KY
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Zip | 40743-0936
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Country | US
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Telephone | 606-330-7835
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Fax | 859-263-8669
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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 | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | 40772
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | 60362
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | P0085
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License Number State | TX
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