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General NPI Number Information
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NPI Number | 1548255490
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Entity Type | Individual
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Provider Name | LYNN M MALONE WOMEN'S NP
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Gender | Female
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Dates
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Enumeration Date | 09/16/2005
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Last Update Date | 03/31/2025
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Provider Practice Location Address
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Address Line | 150 N SYKES CREEK PKWY
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City | MERRITT ISLAND
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State | FL
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Zip | 32953-3460
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Country | US
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Telephone | 321-459-1192
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Fax | 321-459-2304
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Provider Business Mailing Address
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Address Line | 150 N SYKES CREEK PKWY
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City | MERRITT ISLAND
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State | FL
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Zip | 32953-3460
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Country | US
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Telephone | 321-459-1192
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Fax | 321-459-2304
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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 | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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License Number | ARNP 9276440
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License Number State | FL
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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 | APRN9276440
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License Number State | FL
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