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General NPI Number Information
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NPI Number | 1265369128
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Entity Type | Organization
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Legal Business Name | TDN HEALTH LLC
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Dates
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Enumeration Date | 05/05/2026
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Last Update Date | 05/05/2026
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Provider Practice Location Address
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Address Line | 11389 SW 65TH ST
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City | MIAMI
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State | FL
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Zip | 33173-1974
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Country | US
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Telephone | 484-538-0690
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Fax |
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Provider Business Mailing Address
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Address Line | 11389 SW 65TH ST
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City | MIAMI
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State | FL
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Zip | 33173-1974
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Country | US
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Telephone | 484-538-0690
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | VICTOR MANUEL TATIS DE LA NUEZ
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Credential | APRN
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Telephone | 484-538-0690
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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