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General NPI Number Information
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NPI Number | 1083871693
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Entity Type | Individual
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Provider Name | TARA SHANNON CONDREY PA
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Gender | Female
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Dates
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Enumeration Date | 05/21/2008
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Last Update Date | 01/06/2025
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Provider Practice Location Address
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Address Line | 11512 LAKE MEAD AVE SUITE 531
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City | JACKSONVILLE
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State | FL
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Zip | 32256-9680
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Country | US
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Telephone | 904-419-2054
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Fax |
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Provider Business Mailing Address
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Address Line | 15280 NW 79TH CT STE 200
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City | MIAMI LAKES
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State | FL
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Zip | 33016-5873
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Country | US
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Telephone | 305-558-3724
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Fax | 786-907-4485
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA9104580
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License Number State | FL
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