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General NPI Number Information
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NPI Number | 1295294395
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Entity Type | Individual
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Provider Name | NICOLE LASHLEY PA-C
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Gender | Female
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Dates
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Enumeration Date | 03/18/2019
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Last Update Date | 02/05/2025
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Provider Practice Location Address
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Address Line | 9960 CENTRAL PARK BLVD N STE 150A
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City | BOCA RATON
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State | FL
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Zip | 33428-1760
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Country | US
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Telephone | 561-922-9112
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Fax | 561-367-5399
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Provider Business Mailing Address
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Address Line | PO BOX 20802
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City | BELFAST
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State | ME
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Zip | 04915-4105
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Country | US
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Telephone | 884-027-2568
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Fax | 888-902-1099
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA9118812
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License Number State | FL
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