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General NPI Number Information
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NPI Number | 1952506412
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Entity Type | Individual
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Provider Name | ELVIS LAZARO FERRERA
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Gender | Male
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Dates
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Enumeration Date | 06/15/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1506 E 4TH AVE
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City | HIALEAH
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State | FL
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Zip | 33010-3159
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Country | US
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Telephone | 786-507-0222
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Fax |
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Provider Business Mailing Address
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Address Line | 351 W 34TH ST
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City | HIALEAH
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State | FL
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Zip | 33012-4309
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Country | US
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Telephone | 786-295-5738
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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 | 170100000X
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Taxonomy Name | Ph.D. Medical Genetics
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License Number | 00000000000
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License Number State | FL
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