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General NPI Number Information
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NPI Number | 1083125728
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Entity Type | Individual
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Provider Name | TOM LONG BIDDLE-XING DNP
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Gender | Male
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Dates
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Enumeration Date | 10/20/2017
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Last Update Date | 04/21/2025
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Provider Practice Location Address
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Address Line | 3345 BURNS RD STE 105106
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-4324
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Country | US
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Telephone | 561-626-1881
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Fax |
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Provider Business Mailing Address
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Address Line | 8057 ROSSINI WAY
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City | LAKE WORTH
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State | FL
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Zip | 33467-7093
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Country | US
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Telephone |
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | ARNP9340336
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License Number State | FL
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