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General NPI Number Information
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NPI Number | 1104434745
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Entity Type | Individual
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Provider Name | TESS LINS APRN
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Gender | Female
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Dates
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Enumeration Date | 07/20/2020
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Last Update Date | 11/12/2021
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Provider Practice Location Address
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Address Line | 957 E DEL WEBB BLVD STE 101
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City | SUN CITY CENTER
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State | FL
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Zip | 33573-6671
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Country | US
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Telephone | 813-634-1484
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Fax |
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Provider Business Mailing Address
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Address Line | 11123 GREAT NECK RD
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City | RIVERVIEW
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State | FL
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Zip | 33578-4686
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Country | US
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Telephone | 321-243-9513
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11007936
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 11007936
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License Number State | FL
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