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General NPI Number Information
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NPI Number | 1043704349
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Entity Type | Individual
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Provider Name | TINA TERESA MOND DNP, APRN-FPA
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Gender | Female
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Dates
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Enumeration Date | 06/19/2018
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Last Update Date | 04/15/2025
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Provider Practice Location Address
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Address Line | 2810 FRANK SCOTT PARKWAY WEST SUITE 708
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City | BELLEVILLE
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State | IL
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Zip | 62223-5007
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Country | US
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Telephone | 314-252-8704
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Fax | 251-873-1836
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Provider Business Mailing Address
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Address Line | 2810 FRANK SCOTT PARKWAY, WEST SUITE 708
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City | BELLEVILLE
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State | IL
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Zip | 62223-5007
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Country | US
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Telephone | 314-252-8704
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Fax | 251-873-1836
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 277002222
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License Number State | IL
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