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General NPI Number Information
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NPI Number | 1659251411
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Entity Type | Organization
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Legal Business Name | LORIN MEDICAL GROUP LLC
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Dates
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Enumeration Date | 09/03/2025
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 753 HIGHWAY 466
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City | LADY LAKE
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State | FL
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Zip | 32159-6340
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Country | US
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Telephone | 407-487-3550
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Fax | 407-487-3551
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Provider Business Mailing Address
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Address Line | 753 HIGHWAY 466
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City | LADY LAKE
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State | FL
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Zip | 32159-6340
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Country | US
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Telephone | 407-487-3550
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Fax | 407-487-3551
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Authorized Official
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Title or Position | MD
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Name | UBALDO A MIRANDA
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Credential |
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Telephone | 786-725-0245
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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