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General NPI Number Information
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NPI Number | 1538312780
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Entity Type | Individual
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Provider Name | LAWANDA NADINE GOEHRING NP
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Gender | Female
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Dates
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Enumeration Date | 11/01/2008
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Last Update Date | 09/09/2022
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Provider Practice Location Address
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Address Line | 820 DRUID HILLS RD
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City | TEMPLE TERRACE
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State | FL
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Zip | 33617-3812
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Country | US
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Telephone | 917-565-3687
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Fax |
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Provider Business Mailing Address
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Address Line | 5400 E FOWLER AVE STE C253
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City | TAMPA
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State | FL
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Zip | 33617-2222
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Country | US
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Telephone | 917-502-8345
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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 | SP010006
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | SP010006
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | APRN9428628
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 302244
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN9428628
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License Number State | FL
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