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General NPI Number Information
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NPI Number | 1093945594
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Entity Type | Individual
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Provider Name | LUDMYLA J. STADDON ARNP
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Gender | Female
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Dates
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Enumeration Date | 07/17/2009
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Last Update Date | 10/25/2025
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Provider Practice Location Address
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Address Line | 5010 S FLORIDA AVE
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City | LAKELAND
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State | FL
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Zip | 33813-2510
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Country | US
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Telephone | 863-644-2411
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Fax | 863-648-4969
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Provider Business Mailing Address
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Address Line | 5010 S FLORIDA AVE
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City | LAKELAND
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State | FL
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Zip | 33813-2510
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Country | US
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Telephone | 863-644-2411
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Fax | 863-648-4969
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | NO500004756
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License Number State | DC
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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 | 9245779
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | AC004715
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | CNP0032718
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License Number State | OH
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Taxonomy #5
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | LG-0012150
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License Number State | DE
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Taxonomy #6
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN9245779
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License Number State | FL
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Taxonomy #7
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 53-81533-032
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License Number State | KS
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Taxonomy #8
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 089621-23
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License Number State | NH
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Taxonomy #9
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | APRN03381
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License Number State | RI
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Taxonomy #10
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | CNP221478
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License Number State | ME
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Taxonomy #11
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 3018282
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License Number State | KY
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Taxonomy #12
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | RN2379596
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License Number State | MA
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Taxonomy #13
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 101.0135725
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License Number State | VT
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