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General NPI Number Information
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NPI Number | 1578456398
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Entity Type | Individual
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Provider Name | TAMI L LASH BSN, RN, PHN, SNSC
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Gender | Female
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Dates
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Enumeration Date | 05/30/2025
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Last Update Date | 05/30/2025
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Provider Practice Location Address
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Address Line | 35320 DAGGETT YERMO RD
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City | YERMO
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State | CA
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Zip | 92398-0408
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Country | US
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Telephone | 760-254-1333
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Fax |
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Provider Business Mailing Address
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Address Line | 431 MCBROOM AVE
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City | BARSTOW
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State | CA
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Zip | 92311-5537
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Country | US
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Telephone | 760-987-8549
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 747481
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License Number State | CA
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