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General NPI Number Information
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NPI Number | 1023137551
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Entity Type | Individual
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Provider Name | TAMMY ELIZABETH ENGLE N.P.
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Gender | Female
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Dates
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Enumeration Date | 03/28/2007
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Last Update Date | 08/23/2014
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Provider Practice Location Address
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Address Line | 110 W 6TH ST
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City | OSWEGO
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State | NY
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Zip | 13126-2507
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Country | US
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Telephone | 315-349-5511
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Fax |
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Provider Business Mailing Address
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Address Line | 3 ADRIAN CIR
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City | CONSTANTIA
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State | NY
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Zip | 13044-2608
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Country | US
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Telephone | 315-623-6033
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | F301733
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License Number State | NY
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