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General NPI Number Information
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NPI Number | 1619367976
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Entity Type | Organization
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Legal Business Name | L.O.T. HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 01/26/2015
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Last Update Date | 03/30/2021
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Provider Practice Location Address
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Address Line | 845 PALM BEACH RD
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City | SOUTH BAY
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State | FL
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Zip | 33493-2037
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Country | US
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Telephone | 561-693-5143
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Fax | 561-245-9150
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Provider Business Mailing Address
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Address Line | 11924 FOREST HILL BLVD SUITE 10A-243
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City | WELLINGTON
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State | FL
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Zip | 33414-6256
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Country | US
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Telephone | 561-693-5143
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. MAGALI RODRIGUEZ-LOUIS
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Credential |
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Telephone | 561-693-5143
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW8609
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME108802
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME49236
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | ME108802
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | ME68559
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA9103904
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License Number State | FL
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Taxonomy #8
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | ARNP9276312
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License Number State | FL
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Taxonomy #9
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number | ME108802
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License Number State | FL
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