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General NPI Number Information
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NPI Number | 1184407223
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Entity Type | Organization
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Legal Business Name | LWR SURGERY, PLLC
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Dates
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Enumeration Date | 08/14/2023
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Last Update Date | 08/14/2023
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Provider Practice Location Address
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Address Line | 8340 LAKEWOOD RANCH BLVD STE 101
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City | LAKEWOOD RANCH
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State | FL
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Zip | 34202-5183
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Country | US
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Telephone | 941-363-9211
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Fax | 941-907-9483
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Provider Business Mailing Address
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Address Line | 8340 LAKEWOOD RANCH BLVD STE 101
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City | LAKEWOOD RANCH
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State | FL
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Zip | 34202-5183
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Country | US
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Telephone | 941-363-9211
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Fax | 941-907-9483
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | DIANA NAPOLIELLO
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Credential |
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Telephone | 941-504-0046
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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