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General NPI Number Information
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NPI Number | 1073336848
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Entity Type | Individual
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Provider Name | LASHONDIA R MCGREW FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 11/01/2024
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Last Update Date | 02/28/2025
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Provider Practice Location Address
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Address Line | 33650 HIGHWAY 43
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City | THOMASVILLE
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State | AL
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Zip | 36784-3305
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Country | US
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Telephone | 334-636-5311
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Fax |
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Provider Business Mailing Address
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Address Line | 24B CAMDEN BYP
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City | CAMDEN
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State | AL
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Zip | 36726-1770
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Country | US
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Telephone | 334-882-1919
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1184325
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License Number State | AL
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