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General NPI Number Information
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NPI Number | 1518771518
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Entity Type | Individual
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Provider Name | LASHAY EDWARDS LPN
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Gender | Female
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Dates
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Enumeration Date | 02/03/2025
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 192 SAVANNAH PKWY
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City | DEERFIELD
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State | WI
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Zip | 53531-9362
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Country | US
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Telephone | 608-444-0774
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Fax |
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Provider Business Mailing Address
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Address Line | 914 W BADGER RD APT 3
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City | MADISON
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State | WI
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Zip | 53713-3875
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Country | US
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Telephone | 608-421-8740
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 332513-31
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License Number State | WI
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