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General NPI Number Information
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NPI Number | 1588915540
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Entity Type | Individual
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Provider Name | LINDSI NICCOLE CREEL ARNP
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Gender | Female
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Dates
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Enumeration Date | 09/30/2012
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Last Update Date | 11/27/2023
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Provider Practice Location Address
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Address Line | 3160 SOUTHGATE COMMERCE BLVD #64
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City | ORLANDO
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State | FL
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Zip | 32806-8549
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Country | US
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Telephone | 407-857-8860
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Fax |
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Provider Business Mailing Address
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Address Line | 3931 SHOEMAKER CT
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City | MARIETTA
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State | GA
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Zip | 30062-6821
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Country | US
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Telephone | 407-721-0724
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | RN243467
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License Number State | GA
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