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General NPI Number Information
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NPI Number | 1104391754
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Entity Type | Individual
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Provider Name | TAMMY LEE STINGONE FNP
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Gender | Female
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Dates
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Enumeration Date | 10/10/2018
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 314 SWISS VILLAGE RD
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City | OTTO
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State | NC
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Zip | 28763-7058
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Country | US
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Telephone | 828-215-1059
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Fax | 949-695-4292
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Provider Business Mailing Address
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Address Line | 314 SWISS VILLAGE RD
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City | OTTO
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State | NC
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Zip | 28763-7058
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Country | US
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Telephone | 828-215-1059
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Fax | 949-695-4292
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 5011107
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License Number State | NC
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