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General NPI Number Information
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NPI Number | 1144397563
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Entity Type | Individual
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Provider Name | MERIDITH A LASHWAY MS, RD, LD, CDE
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Gender | Female
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 4555 EMERSON ST STE 200
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City | JACKSONVILLE
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State | FL
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Zip | 32207-4958
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Country | US
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Telephone | 904-633-0098
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Fax |
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Provider Business Mailing Address
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Address Line | 43 WILLOW WINDS PKWY
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City | SAINT JOHNS
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State | FL
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Zip | 32259-7300
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Country | US
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Telephone | 904-229-7175
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 2006032648
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | ND4704
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License Number State | FL
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