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General NPI Number Information
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NPI Number | 1316311202
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Entity Type | Individual
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Provider Name | MICHAEL LOMONACO DNP
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Gender | Male
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Dates
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Enumeration Date | 11/16/2015
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Last Update Date | 08/13/2020
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Provider Practice Location Address
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Address Line | 1370 HAMPSTEAD TER
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City | OVIEDO
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State | FL
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Zip | 32765-5119
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Country | US
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Telephone | 407-353-5055
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Fax |
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Provider Business Mailing Address
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Address Line | 1370 HAMPSTEAD TER
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City | OVIEDO
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State | FL
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Zip | 32765-5119
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Country | US
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Telephone | 407-353-5055
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 9244984
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License Number State | FL
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