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General NPI Number Information
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NPI Number | 1396457511
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Entity Type | Individual
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Provider Name | MS. SUHVANNA VICTORIA LAMAR
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Gender | Female
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Dates
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Enumeration Date | 12/19/2022
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 400 N TAMPA ST STE 1550
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City | TAMPA
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State | FL
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Zip | 33602-4737
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Country | US
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Telephone | 813-954-1107
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Fax |
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Provider Business Mailing Address
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Address Line | 6933 CROWN LAKE DR
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City | GIBSONTON
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State | FL
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Zip | 33534-3919
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Country | US
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Telephone | 813-954-1107
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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 | 2022064835
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License Number State | FL
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