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General NPI Number Information
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NPI Number | 1093500613
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Entity Type | Individual
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Provider Name | LITA M TRUE DO
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Gender |
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Dates
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Enumeration Date | 04/14/2025
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Last Update Date | 04/14/2025
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Provider Practice Location Address
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Address Line | 375 KINGS HWY
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City | PORT CHARLOTTE
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State | FL
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Zip | 33983-5222
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Country | US
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Telephone | 941-625-5359
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Fax | 941-625-5420
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Provider Business Mailing Address
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Address Line | 375 KINGS HWY
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City | PORT CHARLOTTE
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State | FL
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Zip | 33983-5222
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Country | US
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Telephone | 941-625-5359
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Fax | 941-625-5420
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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 | 156FX1800X
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Taxonomy Name | Optician
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License Number | DO6178
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License Number State | FL
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