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General NPI Number Information
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NPI Number | 1699026609
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Entity Type | Organization
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Legal Business Name | EDUARDO LAVADO MD PA
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Dates
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Enumeration Date | 10/01/2012
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Last Update Date | 10/01/2012
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Provider Practice Location Address
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Address Line | 4160 W 16TH AVE STE 406
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City | HIALEAH
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State | FL
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Zip | 33012-5853
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Country | US
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Telephone | 305-822-4562
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Fax |
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Provider Business Mailing Address
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Address Line | 4160 W 16TH AVE STE 406
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City | HIALEAH
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State | FL
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Zip | 33012-5853
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Country | US
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Telephone | 305-822-4562
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Fax |
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. EDUARDO LAVADO
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Credential | MD
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Telephone | 305-822-4562
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | ME20778
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License Number State | FL
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