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General NPI Number Information
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NPI Number | 1285315929
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Entity Type | Individual
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Provider Name | TIANDRA VERSHAWN SINGLETON WATTERS APRN-WHNP
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Gender | Female
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Dates
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Enumeration Date | 07/26/2023
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | 2820 NAPOLEON AVE
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City | NEW ORLEANS
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State | LA
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Zip | 70115-6969
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Country | US
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Telephone | 504-842-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 4241 SKIPJACK CV
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City | NICEVILLE
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State | FL
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Zip | 32578-7150
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Country | US
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Telephone | 931-249-7654
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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 | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 229720
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License Number State | LA
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