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General NPI Number Information
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NPI Number | 1902017809
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Entity Type | Individual
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Provider Name | LILIA M. VENTO P.T.
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Gender | Female
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 6000 SW 93RD AVE
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City | MIAMI
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State | FL
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Zip | 33173-1554
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Country | US
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Telephone | 305-582-1350
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Fax | 305-275-0660
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Provider Business Mailing Address
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Address Line | 6000 S.W. 93 AVENUE
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City | MIAMI
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State | FL
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Zip | 33173
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Country | US
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Telephone | 305-582-1350
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Fax | 305-275-0201
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | PT7047
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License Number State | FL
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