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General NPI Number Information
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NPI Number | 1356109656
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Entity Type | Individual
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Provider Name | LORIE ANN WILLIAMS APRN
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Gender | Female
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Dates
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Enumeration Date | 03/11/2024
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Last Update Date | 03/11/2024
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Provider Practice Location Address
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Address Line | 2711 MAGUIRE RD
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City | OCOEE
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State | FL
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Zip | 34761-4797
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Country | US
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Telephone | 407-268-0000
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Fax |
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Provider Business Mailing Address
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Address Line | 116 BLACKSTONE CREEK RD
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City | GROVELAND
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State | FL
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Zip | 34736-3621
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Country | US
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Telephone | 407-505-9144
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 11031761
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License Number State | FL
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