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General NPI Number Information
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NPI Number | 1114261575
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Entity Type | Individual
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Provider Name | EDWARD ANTHONY TENORE ARNP
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Gender | Male
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Dates
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Enumeration Date | 11/23/2012
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Last Update Date | 11/28/2023
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Provider Practice Location Address
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Address Line | 19090 STATE ROAD 7
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City | BOCA RATON
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State | FL
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Zip | 33498-4763
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Country | US
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Telephone | 561-314-4650
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Fax |
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Provider Business Mailing Address
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Address Line | 19090 STATE ROAD 7
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City | BOCA RATON
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State | FL
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Zip | 33498
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Country | US
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Telephone | 561-314-4650
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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 | ARNP9247682
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 0024173626
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License Number State | VA
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