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General NPI Number Information
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NPI Number | 1164667598
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Entity Type | Individual
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Provider Name | LESMA ELIZABETH COLQUHOUN GNP
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Gender | Female
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Dates
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Enumeration Date | 12/15/2008
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Last Update Date | 12/04/2017
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Provider Practice Location Address
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Address Line | 22488 OVERTURE CIRC
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City | BOCA RATON
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State | FL
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Zip | 33428
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Country | US
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Telephone | 561-483-9589
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Fax |
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Provider Business Mailing Address
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Address Line | 22488 OVERTURE CIR
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City | BOCA RATON
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State | FL
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Zip | 33428-4265
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Country | US
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Telephone | 561-483-9589
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | ARNP3362512
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | ARNP3362512
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | ARNP3362512
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License Number State | FL
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