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General NPI Number Information
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NPI Number | 1881474351
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Entity Type | Organization
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Legal Business Name | LMJ MEDICAL CONCIERGE LLC
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Dates
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Enumeration Date | 10/03/2023
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Last Update Date | 10/03/2023
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Provider Practice Location Address
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Address Line | 1150 NW 72ND AVE TOWER 1 455 #12722
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City | MIAMI
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State | FL
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Zip | 33126
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Country | US
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Telephone | 305-890-9297
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 19355
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City | PLANTATION
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State | FL
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Zip | 33318-0355
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | AMBR
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Name | LYNN M HERNANDEZ RIZO
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Credential | DO
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Telephone | 305-890-9297
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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