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General NPI Number Information
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NPI Number | 1295339364
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Entity Type | Organization
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Legal Business Name | LOBATO FAMILY PRACTICE
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Dates
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Enumeration Date | 11/29/2020
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Last Update Date | 07/31/2023
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Provider Practice Location Address
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Address Line | 900 ORCHID SPRINGS DR STE 102
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City | WINTER HAVEN
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State | FL
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Zip | 33884-3655
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Country | US
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Telephone | 638-250-1096
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Fax |
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Provider Business Mailing Address
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Address Line | 112 LAKE CHARLES DR
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City | DAVENPORT
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State | FL
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Zip | 33837-3607
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Country | US
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Telephone | 305-322-5907
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ERICA LOBATO
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Credential | APRN
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Telephone | 305-322-5907
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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