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General NPI Number Information
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NPI Number | 1992117766
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Entity Type | Individual
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Provider Name | LILIANA CHAVEZ
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Gender | Female
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Dates
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Enumeration Date | 05/28/2014
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Last Update Date | 01/28/2019
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Provider Practice Location Address
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Address Line | 8686 CORAL WAY
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City | MIAMI
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State | FL
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Zip | 33155-2338
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Country | US
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Telephone | 305-269-2550
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Fax | 305-269-2546
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Provider Business Mailing Address
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Address Line | 10401 SW 40TH ST
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City | MIAMI
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State | FL
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Zip | 33165-3745
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Country | US
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Telephone | 305-222-2000
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Fax | 305-553-5952
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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 | 163WP2201X
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Taxonomy Name | Ambulatory Care Registered Nurse
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License Number | RN9299617
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN11000467
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License Number State | FL
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