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General NPI Number Information
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NPI Number | 1932533510
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Entity Type | Individual
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Provider Name | SONIELY LUGO-RUIZ M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/30/2013
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Last Update Date | 02/08/2021
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Provider Practice Location Address
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Address Line | 6535 NEMOURS PKWY
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City | ORLANDO
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State | FL
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Zip | 32827-7884
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Country | US
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Telephone | 407-567-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 10140 CENTURION PKWY N
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City | JACKSONVILLE
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State | FL
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Zip | 32256-0532
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Country | US
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Telephone | 904-697-4100
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Fax | 904-697-5102
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 19917
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 29654R
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License Number State | PR
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 19917
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License Number State | PR
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Taxonomy #4
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Taxonomy Code | 2080P0205X
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Taxonomy Name | Pediatric Endocrinology Physician
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License Number | ME138884
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License Number State | FL
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