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General NPI Number Information
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NPI Number | 1356181580
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Entity Type | Individual
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Provider Name | SARRA LASHHAB
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Gender | Female
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Dates
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Enumeration Date | 05/27/2024
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Last Update Date | 05/27/2024
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Provider Practice Location Address
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Address Line | 3050 N HORSESHOE DR STE 280
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City | NAPLES
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State | FL
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Zip | 34104-7910
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Country | US
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Telephone | 239-688-5478
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Fax |
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Provider Business Mailing Address
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Address Line | 8211 PACIFIC BEACH DR
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City | FORT MYERS
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State | FL
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Zip | 33966-7974
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Country | US
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Telephone | 239-220-8699
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | ISW17587
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License Number State | FL
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