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General NPI Number Information
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NPI Number | 1972532885
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Entity Type | Individual
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Provider Name | LILIA LOFRANCO DEBORJA MD
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Gender | Female
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Dates
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Enumeration Date | 07/02/2006
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Last Update Date | 05/17/2023
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Provider Practice Location Address
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Address Line | 4200 EDMONDSON AVENUE SUITE 204
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City | BALTIMORE
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State | MD
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Zip | 21229
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Country | US
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Telephone | 410-624-0037
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Fax | 410-947-2794
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Provider Business Mailing Address
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Address Line | 4200 EDMONDSON AVENUE SUITE 204
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City | BALTIMORE
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State | MD
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Zip | 21229
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Country | US
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Telephone | 410-624-0037
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Fax | 410-947-2794
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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 | D16970
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License Number State | MD
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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 | D0016970
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License Number State | MD
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