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General NPI Number Information
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NPI Number | 1568892552
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Entity Type | Individual
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Provider Name | LEONARDO TROBAJO LOBAYNA A.R.N.P.
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Gender | Male
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Dates
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Enumeration Date | 11/12/2013
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Last Update Date | 09/18/2024
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Provider Practice Location Address
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Address Line | 17241 SW 143RD CT
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City | MIAMI
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State | FL
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Zip | 33177-2752
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Country | US
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Telephone | 786-448-8187
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Fax |
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Provider Business Mailing Address
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Address Line | 730 NW 107TH AVE STE 110
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City | MIAMI
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State | FL
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Zip | 33172-3104
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Country | US
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Telephone | 786-636-1402
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Fax | 786-636-1403
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | APRN9314833
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | ARNP9314833
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | APRN9314833
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License Number State | FL
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