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General NPI Number Information
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NPI Number | 1134789597
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Entity Type | Individual
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Provider Name | JOSIE TATE F-NP
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Gender | Female
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Dates
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Enumeration Date | 06/18/2019
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 2370 E STADIUM BLVD # 2049
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City | ANN ARBOR
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State | MI
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Zip | 48104-4811
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Country | US
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Telephone | 650-503-9990
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Fax |
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Provider Business Mailing Address
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Address Line | 935 E LANCASTER AVE # 1083
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City | DOWNINGTOWN
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State | PA
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Zip | 19335-3328
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | SP019261
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License Number State | PA
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