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General NPI Number Information
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NPI Number | 1114896727
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Entity Type | Organization
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Legal Business Name | LEAN RX
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Dates
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Enumeration Date | 11/03/2025
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 18115 N US HIGHWAY 41 STE 800
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City | LUTZ
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State | FL
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Zip | 33549-6475
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Country | US
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Telephone | 904-327-3363
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Fax |
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Provider Business Mailing Address
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Address Line | 8051 N TAMIAMI TRL STE E6
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City | SARASOTA
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State | FL
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Zip | 34243-2067
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Country | US
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Telephone | 904-327-3363
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Fax |
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Authorized Official
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Title or Position | NP
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Name | NANCY COKER
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Credential | NP
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Telephone | 904-327-3363
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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 |
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License Number State |
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