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General NPI Number Information
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NPI Number | 1689368441
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Entity Type | Individual
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Provider Name | GABRIELLE LOMBARDI
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Gender | Female
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Dates
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Enumeration Date | 06/05/2023
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Last Update Date | 06/05/2023
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Provider Practice Location Address
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Address Line | 21758 STATE ROAD 54
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City | LUTZ
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State | FL
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Zip | 33549-6921
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Country | US
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Telephone | 813-563-6070
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Fax |
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Provider Business Mailing Address
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Address Line | 5618 PADDOCK TRAIL DR
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City | TAMPA
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State | FL
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Zip | 33624-6921
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Country | US
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Telephone | 239-961-2609
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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 | 11025313
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License Number State | FL
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