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General NPI Number Information
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NPI Number | 1326669540
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Entity Type | Individual
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Provider Name | TAMMY ROSE DEWITT APRN
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Gender | Female
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Dates
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Enumeration Date | 04/28/2020
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Last Update Date | 03/23/2024
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Provider Practice Location Address
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Address Line | 1300 HIGHWAY 41 N STE 4
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City | INVERNESS
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State | FL
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Zip | 34450-3964
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Country | US
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Telephone | 352-646-7546
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Fax | 866-404-4008
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Provider Business Mailing Address
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Address Line | PO BOX 5
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City | MASCOTTE
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State | FL
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Zip | 34753-0005
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Country | US
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Telephone | 352-626-2009
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Fax | 866-404-4008
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 11006866
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 11006866
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License Number State | FL
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