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General NPI Number Information
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NPI Number | 1427673011
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Entity Type | Individual
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Provider Name | JESSICA JOY MILNOR LAMOS CRNA
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Gender | Female
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Dates
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Enumeration Date | 06/10/2020
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Last Update Date | 06/08/2026
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Provider Practice Location Address
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Address Line | 1350 HICKORY ST
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City | MELBOURNE
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State | FL
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Zip | 32901-3278
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Country | US
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Telephone | 321-434-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 1220 TWO OAKS BLVD
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City | MERRITT ISLAND
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State | FL
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Zip | 32952-6051
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Country | US
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Telephone | 321-987-0935
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | APRN11006954
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License Number State | FL
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