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General NPI Number Information
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NPI Number | 1508667379
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Entity Type | Individual
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Provider Name | LATASHA LAVETTE AKPALOO FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 03/19/2025
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Last Update Date | 03/19/2025
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Provider Practice Location Address
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Address Line | 3422 N CARNATION CT
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City | TALLAHASSEE
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State | FL
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Zip | 32303-2607
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Country | US
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Telephone | 850-296-8847
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Fax |
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Provider Business Mailing Address
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Address Line | 3422 N CARNATION CT
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City | TALLAHASSEE
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State | FL
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Zip | 32303-2607
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Country | US
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Telephone | 850-879-3486
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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 | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | 9413767
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | 162959
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11038316
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License Number State | FL
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