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General NPI Number Information
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NPI Number | 1790820926
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Entity Type | Individual
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Provider Name | ERIN LINDBLOM PETTI APRN
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Gender | Female
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Dates
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Enumeration Date | 02/21/2007
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 1324 LAKELAND HILLS BLVD
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City | LAKELAND
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State | FL
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Zip | 33805-4543
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Country | US
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Telephone | 407-650-7715
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Fax |
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Provider Business Mailing Address
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Address Line | 12800 TIKAL WAY
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City | TRINITY
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State | FL
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Zip | 34655-7251
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Country | US
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Telephone | 727-409-6687
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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 | 2084N0402X
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Taxonomy Name | Neurology with Special Qualifications in Child Neurology Physician
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License Number | FL3390982
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | ARNP3390982
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | FLARNP3390982
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License Number State | FL
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