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General NPI Number Information
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NPI Number | 1346360492
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Entity Type | Individual
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Provider Name | CHIANTA SHAW LINDSEY ARNP
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Gender | Female
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Dates
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Enumeration Date | 03/30/2007
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Last Update Date | 08/23/2019
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Provider Practice Location Address
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Address Line | 232 N ORANGE BLOSSOM TRL
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City | ORLANDO
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State | FL
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Zip | 32805-1612
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Country | US
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Telephone | 407-428-5751
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Fax | 407-447-7245
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Provider Business Mailing Address
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Address Line | 37912 CHURCH AVE
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City | DADE CITY
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State | FL
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Zip | 33525-4207
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Country | US
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Telephone | 352-518-2000
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Fax | 407-447-7245
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 384302
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | ARNP3084302
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License Number State | FL
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