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General NPI Number Information
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NPI Number | 1720076862
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Entity Type | Individual
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Provider Name | ANNE M LORD D.O.
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Gender | Female
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Dates
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Enumeration Date | 10/12/2005
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Last Update Date | 08/29/2024
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Provider Practice Location Address
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Address Line | 12650 WORLD PLAZA LN # 72-2
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City | FORT MYERS
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State | FL
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Zip | 33907-4077
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Country | US
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Telephone | 239-656-9006
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Fax | 239-372-0269
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Provider Business Mailing Address
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Address Line | 12650 WORLD PLAZA LN # 72-2
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City | FORT MYERS
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State | FL
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Zip | 33907-4077
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Country | US
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Telephone | 239-656-9006
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Fax | 239-372-0269
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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 | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | L0386
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | OS9883
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License Number State | FL
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