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General NPI Number Information
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NPI Number | 1851843593
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Entity Type | Individual
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Provider Name | LILIAM PALACIOS
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Gender | Female
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Dates
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Enumeration Date | 10/28/2016
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Last Update Date | 07/16/2024
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Provider Practice Location Address
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Address Line | 9045 SW 87TH CT
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City | MIAMI
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State | FL
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Zip | 33176-2304
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Country | US
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Telephone | 305-598-7715
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Fax |
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Provider Business Mailing Address
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Address Line | 14680 SW 8TH ST STE 205
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City | MIAMI
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State | FL
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Zip | 33184-3138
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Country | US
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Telephone | 305-549-8937
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Fax |
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | APRN9327082
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License Number State | FL
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