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General NPI Number Information
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NPI Number | 1245776376
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Entity Type | Individual
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Provider Name | TAMARA K. CONNOR CRNP-FNP-C
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Gender | Female
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Dates
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Enumeration Date | 01/12/2017
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Last Update Date | 07/07/2025
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Provider Practice Location Address
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Address Line | 33 MEADOW CREEK LN
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City | GLENMOORE
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State | PA
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Zip | 19343-2017
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Country | US
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Telephone | 610-368-7430
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Fax | 814-723-2483
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Provider Business Mailing Address
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Address Line | 33 MEADOW CREEK LN
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City | GLENMOORE
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State | PA
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Zip | 19343-2017
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Country | US
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Telephone | 610-368-7430
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Fax | 814-723-2483
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | L1-0071757
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | SP016924
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R137407
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | SP016424
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License Number State | PA
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | LG-0012371
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License Number State | DE
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