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General NPI Number Information
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NPI Number | 1285500181
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Entity Type | Individual
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Provider Name | LISA CARULLI STFA
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Gender | Female
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Dates
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Enumeration Date | 10/16/2025
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 1060 FIRST COLONIAL RD
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City | VIRGINIA BEACH
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State | VA
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Zip | 23454-3002
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Country | US
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Telephone | 757-395-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 405 JAMES WAY
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City | MARION
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State | OH
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Zip | 43302
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Country | US
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Telephone | 740-751-8135
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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 | 246ZC0007X
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Taxonomy Name | Surgical Assistant
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License Number |
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License Number State |
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