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General NPI Number Information
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NPI Number | 1144598798
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Entity Type | Individual
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Provider Name | LISA NAIDOO CRNA
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Gender | Female
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Dates
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Enumeration Date | 12/12/2011
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Last Update Date | 07/16/2024
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Provider Practice Location Address
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Address Line | 1600 SW ARCHER RD
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City | GAINESVILLE
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State | FL
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Zip | 32610-3268
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Country | US
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Telephone | 352-273-6438
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Fax |
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Provider Business Mailing Address
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Address Line | 68 S SERVICE RD SUITE 350
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City | MELVILLE
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State | NY
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Zip | 11747-2354
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Country | US
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Telephone | 516-945-3347
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 4883
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | APRN9484606
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License Number State | FL
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