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General NPI Number Information
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NPI Number | 1700162385
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Entity Type | Individual
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Provider Name | CHERYL LYNN LASATER ARNP
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Gender | Female
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Dates
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Enumeration Date | 10/27/2011
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Last Update Date | 01/26/2023
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Provider Practice Location Address
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Address Line | 4351 CORTEZ RD W STE 200
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City | BRADENTON
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State | FL
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Zip | 34210-3217
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Country | US
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Telephone | 941-345-1950
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Fax | 941-345-1951
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Provider Business Mailing Address
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Address Line | PO BOX 85001 DEPT 217
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City | ORLANDO
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State | FL
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Zip | 32885-0217
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Country | US
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Telephone | 941-354-1950
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Fax | 941-345-1951
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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 | 2950612
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License Number State | FL
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