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General NPI Number Information
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NPI Number | 1952800476
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Entity Type | Individual
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Provider Name | LAKESHA LANAE COLON LPN
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Gender | Female
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Dates
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Enumeration Date | 02/10/2018
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Last Update Date | 02/10/2018
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Provider Practice Location Address
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Address Line | 909 CULVER RD
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City | ROCHESTER
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State | NY
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Zip | 14609-7141
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Country | US
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Telephone | 585-275-7892
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Fax |
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Provider Business Mailing Address
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Address Line | 476 COLVIN ST
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City | ROCHESTER
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State | NY
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Zip | 14606-1112
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Country | US
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Telephone | 901-687-1872
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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 | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 323688
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License Number State | NY
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