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General NPI Number Information
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NPI Number | 1669776159
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Entity Type | Organization
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Legal Business Name | IGNACIO LOPEZ-MERINO, M.D., PA
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Dates
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Enumeration Date | 12/27/2010
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Last Update Date | 12/27/2010
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Provider Practice Location Address
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Address Line | 7050 NW 4TH ST SUITE#304
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City | PLANTATION
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State | FL
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Zip | 33317-2247
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Country | US
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Telephone | 954-791-4774
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Fax | 954-791-2405
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Provider Business Mailing Address
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Address Line | 7050 NW 4TH ST SUITE#304
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City | PLANTATION
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State | FL
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Zip | 33317-2247
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Country | US
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Telephone | 954-791-4774
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Fax | 954-791-2405
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Authorized Official
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Title or Position | MEDICAL DOCTOR
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Name | DR. IGNACIO LOPEZ-MERINO, M.D.
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Credential | M.D.
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Telephone | 954-791-4774
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ME0049078
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License Number State | FL
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