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General NPI Number Information
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NPI Number | 1245078856
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Entity Type | Organization
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Legal Business Name | LAKAY IPHANITA KLINIK, PLLC
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Dates
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Enumeration Date | 07/17/2024
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Last Update Date | 07/17/2024
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Provider Practice Location Address
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Address Line | 1250 TAMIAMI TRL N STE 104
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City | NAPLES
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State | FL
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Zip | 34102-5267
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Country | US
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Telephone | 239-231-9024
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Fax | 833-672-3155
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Provider Business Mailing Address
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Address Line | 5040 SALERNO ST
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City | AVE MARIA
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State | FL
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Zip | 34142-9578
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Country | US
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Telephone | 239-231-9024
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Fax | 833-672-3155
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | JEAN EVINS REMY
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Credential | FNP-BC
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Telephone | 239-231-9024
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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