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General NPI Number Information
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NPI Number | 1588334437
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Entity Type | Individual
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Provider Name | LYDIA AKOTH ANYANGA NP
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Gender | Female
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Dates
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Enumeration Date | 09/13/2021
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Last Update Date | 09/13/2021
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Provider Practice Location Address
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Address Line | 32 BUENA VISTA DR
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City | NEW CASTLE
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State | DE
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Zip | 19720-4660
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Country | US
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Telephone | 302-328-2580
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Fax |
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Provider Business Mailing Address
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Address Line | 300 PARK AVE
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City | NEW CASTLE
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State | DE
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Zip | 19720-4798
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Country | US
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Telephone | 302-304-5657
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | LP-0000125
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | LP-0000125
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License Number State | DE
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Taxonomy #3
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | LP-0000125
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License Number State | DE
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