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General NPI Number Information
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NPI Number | 1760673818
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Entity Type | Individual
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Provider Name | LISA L AOULA APRN ANP-C
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Gender | Female
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Dates
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Enumeration Date | 08/05/2007
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 100 NORTH ACADEMY AVE
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City | DANVILLE
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State | PA
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Zip | 17822-9800
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Country | US
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Telephone | 570-271-6045
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Fax | 570-271-6542
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Provider Business Mailing Address
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Address Line | 100 N ACADEMY AVE
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City | DANVILLE
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State | PA
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Zip | 17822-4903
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Country | US
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Telephone | 570-271-6144
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | SP029780
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | AP116065
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 0024195096
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License Number State | VA
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