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General NPI Number Information
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NPI Number | 1114247657
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Entity Type | Individual
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Provider Name | VALERIE LASTITION APRN
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Gender | Female
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Dates
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Enumeration Date | 06/07/2010
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 304 LAGRANDE BLVD STE 4
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City | THE VILLAGES
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State | FL
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Zip | 32159-2388
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Country | US
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Telephone | 352-415-0778
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Fax |
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Provider Business Mailing Address
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Address Line | 304 LAGRANDE BLVD
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City | THE VILLAGES
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State | FL
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Zip | 32159-2388
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Country | US
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Telephone | 352-415-0778
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Fax | 352-404-7727
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 2064882
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License Number State | FL
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