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General NPI Number Information
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NPI Number | 1942246210
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Entity Type | Individual
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Provider Name | DAVID LEOPOLDO LOPEZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/22/2006
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Last Update Date | 06/04/2018
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Provider Practice Location Address
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Address Line | 302 W FLETCHER AVE
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City | TAMPA
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State | FL
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Zip | 33612
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Country | US
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Telephone | 813-866-0930
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Fax | 813-405-3722
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Provider Business Mailing Address
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Address Line | 302 W FLETCHER AVE
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City | TAMPA
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State | FL
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Zip | 33612-3415
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Country | US
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Telephone | 813-866-0930
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Fax | 813-405-3722
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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 | 2080P0205X
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Taxonomy Name | Pediatric Endocrinology Physician
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License Number | ME76319
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License Number State | FL
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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 | ME76319
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License Number State | FL
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