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General NPI Number Information
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NPI Number | 1336066570
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Entity Type | Individual
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Provider Name | LATESHIA WILLIAMS LPN
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Gender | Female
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Dates
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Enumeration Date | 06/30/2026
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Last Update Date | 06/30/2026
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Provider Practice Location Address
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Address Line | 37956 OSPREY CLUBHOUSE LN APT 1-201
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City | DADE CITY
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State | FL
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Zip | 33525-1201
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Country | US
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Telephone | 813-312-0500
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Fax |
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Provider Business Mailing Address
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Address Line | 37956 OSPREY CLUBHOUSE LN APT 1-201
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City | DADE CITY
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State | FL
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Zip | 33525-1201
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Country | US
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Telephone | 813-312-0500
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | PN5249076
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License Number State | FL
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