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General NPI Number Information
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NPI Number | 1134982978
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Entity Type | Individual
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Provider Name | NICOLE RAE LORDEN APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 02/05/2024
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 113 HEALTH WAY
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City | LAKE PLACID
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State | FL
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Zip | 33852-4716
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Country | US
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Telephone | 863-465-7010
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Fax | 863-465-4223
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Provider Business Mailing Address
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Address Line | 2675 WINKLER AVE FL 2
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City | FORT MYERS
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State | FL
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Zip | 33901-9342
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Country | US
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Telephone | 778-563-7748
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | APRN11031003
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License Number State | FL
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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 | APRN11031003
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License Number State | FL
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