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General NPI Number Information
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NPI Number | 1497409890
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Entity Type | Individual
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Provider Name | LORRIE BETH ALTHAGE MSN, APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 02/05/2022
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 1340 S DIXIE HWY STE 110
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City | CORAL GABLES
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State | FL
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Zip | 33146-2964
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Country | US
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Telephone | 305-859-3999
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Fax |
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Provider Business Mailing Address
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Address Line | 11233 SW 111TH ST
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City | MIAMI
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State | FL
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Zip | 33176-3232
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Country | US
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Telephone | 305-438-8044
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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 | 11017586
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License Number State | FL
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