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General NPI Number Information
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NPI Number | 1639680721
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Entity Type | Individual
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Provider Name | LISA MARIE STILES ARNP
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Gender | Female
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Dates
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Enumeration Date | 10/17/2017
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 11600 S ORANGE BLOSSOM TRL
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City | ORLANDO
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State | FL
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Zip | 32837-9215
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Country | US
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Telephone | 855-925-4733
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Fax |
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Provider Business Mailing Address
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Address Line | 12780 WATERFORD LAKES PKWY STE 120
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City | ORLANDO
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State | FL
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Zip | 32828-4501
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Country | US
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Telephone | 321-841-9514
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Fax | 407-636-7864
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | ARNP9291927
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License Number State | FL
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