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General NPI Number Information
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NPI Number | 1518813617
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Entity Type | Individual
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Provider Name | SANDSLIA LIMA ARNP
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Gender | Female
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Dates
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Enumeration Date | 03/10/2026
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Last Update Date | 03/10/2026
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Provider Practice Location Address
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Address Line | 378 SW PRIMA VISTA BLVD
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City | PORT ST LUCIE
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State | FL
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Zip | 34983-1984
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Country | US
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Telephone | 772-224-2582
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Fax |
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Provider Business Mailing Address
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Address Line | 6459 NW OMEGA RD
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City | PORT ST LUCIE
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State | FL
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Zip | 34983-3353
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Country | US
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Telephone | 772-985-0993
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 11045492
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License Number State | FL
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