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General NPI Number Information
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NPI Number | 1821971813
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Entity Type | Individual
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Provider Name | LASHAUNA NICOLE KIMBROUGH
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Gender | Female
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Dates
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Enumeration Date | 07/28/2025
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 923 PINE TOP LN
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City | CANTONMENT
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State | FL
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Zip | 32533-8469
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Country | US
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Telephone | 850-356-1446
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Fax |
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Provider Business Mailing Address
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Address Line | 2271 SPARROW LN
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City | PENSACOLA
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State | FL
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Zip | 32534-1740
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Country | US
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Telephone | 850-480-8299
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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 | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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