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General NPI Number Information
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NPI Number | 1932409299
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Entity Type | Individual
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Provider Name | LISA ANJANETTE WASHINGTON ARNP
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Gender | Female
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Dates
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Enumeration Date | 11/02/2010
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Last Update Date | 11/02/2010
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Provider Practice Location Address
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Address Line | 605 MEDICAL CARE DR
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City | BRANDON
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State | FL
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Zip | 33511-5942
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Country | US
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Telephone | 813-681-6474
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Fax | 813-654-8473
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Provider Business Mailing Address
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Address Line | 20126 STILL WIND DR
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City | TAMPA
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State | FL
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Zip | 33647-3548
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Country | US
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Telephone | 813-383-3073
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Fax | 813-745-5441
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 3354502
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License Number State | FL
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