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General NPI Number Information
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NPI Number | 1225854888
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Entity Type | Individual
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Provider Name | LACEY ELIZABETH NAPPIER PTA
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Gender | Female
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Dates
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Enumeration Date | 11/28/2024
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Last Update Date | 11/28/2024
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Provider Practice Location Address
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Address Line | 207 MARSHALL DR
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City | PERRY
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State | FL
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Zip | 32347-1835
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Country | US
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Telephone | 850-584-6334
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Fax |
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Provider Business Mailing Address
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Address Line | 14539 63RD CT N
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City | LOXAHATCHEE
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State | FL
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Zip | 33470-4579
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Country | US
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Telephone | 561-985-3882
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 23175
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License Number State | FL
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