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General NPI Number Information
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NPI Number | 1699264663
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Entity Type | Individual
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Provider Name | FARAH LAZARRE FNP
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Gender | Female
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Dates
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Enumeration Date | 05/05/2018
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 39 NW 166TH ST STE 1
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City | MIAMI
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State | FL
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Zip | 33169-6049
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Country | US
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Telephone | 321-209-3211
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Fax |
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Provider Business Mailing Address
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Address Line | 117 GOLF VILLAS CT NW
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City | LAKE PLACID
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State | FL
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Zip | 33852-6657
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Country | US
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Telephone | 305-433-1061
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | APRN9265181
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1148949
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | C-APN.002243-C-NP
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License Number State | CO
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0024179927
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License Number State | VA
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Taxonomy #5
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | APRN-LIC-156316
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License Number State | MT
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Taxonomy #6
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN9265181
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License Number State | FL
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