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General NPI Number Information
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NPI Number | 1881471019
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Entity Type | Individual
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Provider Name | MR. MIGUEL ALEJANDRO LORENZO SR.
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Gender | Male
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Dates
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Enumeration Date | 09/11/2023
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Last Update Date | 01/14/2026
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Provider Practice Location Address
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Address Line | 426 E 62ND ST
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City | HIALEAH
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State | FL
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Zip | 33013-1143
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Country | US
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Telephone | 786-890-7742
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Fax |
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Provider Business Mailing Address
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Address Line | 426 E 62ND ST
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City | HIALEAH
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State | FL
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Zip | 33013-1143
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Country | US
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Telephone | 786-890-7736
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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 | 246ZC0007X
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Taxonomy Name | Surgical Assistant
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License Number | 23-546
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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