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General NPI Number Information
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NPI Number | 1427525617
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Entity Type | Individual
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Provider Name | LISA ANAKWENZE MD, MPH, MS
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Gender | Female
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Dates
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Enumeration Date | 10/26/2018
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Last Update Date | 05/06/2025
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Provider Practice Location Address
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Address Line | 17 DAVIS BLVD STE 308
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City | TAMPA
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State | FL
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Zip | 33606-3438
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Country | US
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Telephone | 813-974-2201
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Fax |
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Provider Business Mailing Address
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Address Line | 1110 EUCLID AVE
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City | CLEVELAND
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State | OH
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Zip | 44115-1623
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Country | US
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Telephone | 216-844-3833
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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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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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License Number |
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Taxonomy #2
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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Taxonomy #3
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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Taxonomy #4
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Taxonomy Code | 1744R1102X
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Taxonomy Name | Research Study Specialist
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Taxonomy #5
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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Taxonomy #6
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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