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General NPI Number Information
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NPI Number | 1578956520
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Entity Type | Individual
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Provider Name | CHERELLE LASHAWN POUNDS CNA
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Gender | Female
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Dates
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Enumeration Date | 03/16/2015
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Last Update Date | 09/24/2020
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Provider Practice Location Address
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Address Line | 632 RIDGE RD
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City | TALLAHASSEE
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State | FL
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Zip | 32305-7012
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Country | US
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Telephone | 850-274-6205
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Fax | 850-692-3301
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Provider Business Mailing Address
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Address Line | PO BOX 181060
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City | TALLAHASSEE
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State | FL
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Zip | 32318-0010
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Country | US
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Telephone | 850-274-6205
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Fax | 850-692-3301
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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 | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number | CNA244912
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License Number State | FL
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