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General NPI Number Information
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NPI Number | 1114764511
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Entity Type | Individual
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Provider Name | LINDSEY MENEELY MSN, APRN, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/11/2024
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 8916 77TH TER E UNIT 105
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City | LAKEWOOD RANCH
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State | FL
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Zip | 34202-6415
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Country | US
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Telephone | 941-999-2112
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Fax |
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Provider Business Mailing Address
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Address Line | 26907 69TH AVE E
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City | MYAKKA CITY
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State | FL
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Zip | 34251-7883
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Country | US
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Telephone | 941-773-9456
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 11033876
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License Number State | FL
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