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General NPI Number Information
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NPI Number | 1821865833
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Entity Type | Individual
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Provider Name | MARIAH LOMBARD
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Gender | Female
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Dates
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Enumeration Date | 12/08/2023
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 2727 6TH AVE S
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City | SAINT PETERSBURG
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State | FL
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Zip | 33712-1553
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Country | US
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Telephone | 727-280-6366
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Fax |
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Provider Business Mailing Address
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Address Line | 2727 6TH AVE S
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City | SAINT PETERSBURG
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State | FL
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Zip | 33712-1553
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Country | US
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Telephone |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 26888
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | FL43115
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License Number State | FL
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