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General NPI Number Information
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NPI Number | 1003688169
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Entity Type | Individual
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Provider Name | JOCELYN ARLENE TANG APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 10/23/2023
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Last Update Date | 10/04/2025
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Provider Practice Location Address
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Address Line | 815 W BOYNTON BEACH BLVD
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City | BOYNTON BEACH
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State | FL
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Zip | 33426-3665
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Country | US
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Telephone | 954-361-4930
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Fax |
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Provider Business Mailing Address
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Address Line | 7901 4TH ST N STE 300
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City | ST PETERSBURG
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State | FL
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Zip | 33702-4399
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Country | US
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Telephone | 509-768-2247
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 11029176
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License Number State | FL
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