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General NPI Number Information
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NPI Number | 1740274042
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Entity Type | Individual
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Provider Name | LEA LYN G PAREDES MD
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Gender | Female
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Dates
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Enumeration Date | 09/01/2005
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Last Update Date | 07/28/2016
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Provider Practice Location Address
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Address Line | 83 W MILLER ST
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City | ORLANDO
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State | FL
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Zip | 32806-2031
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Country | US
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Telephone | 321-843-2584
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Fax |
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Provider Business Mailing Address
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Address Line | 1613 N. HARRISON PARKWAY SUITE 200, MAILSTOP SH-9A
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City | SUNRISE
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State | FL
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Zip | 33323-2896
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Country | US
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Telephone | 954-838-2371
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Fax | 954-851-1746
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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 | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | ME85412
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | ME85412
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License Number State | FL
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