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General NPI Number Information
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NPI Number | 1346861127
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Entity Type | Individual
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Provider Name | FINAN TEDLA NP
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Gender | Female
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Dates
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Enumeration Date | 05/03/2020
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Last Update Date | 01/13/2025
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Provider Practice Location Address
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Address Line | 1628 S MILDRED ST STE 102
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City | TACOMA
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State | WA
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Zip | 98465-1628
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Country | US
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Telephone | 206-538-6300
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Fax | 206-538-6301
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Provider Business Mailing Address
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Address Line | PO BOX 11823
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City | ATLANTA
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State | GA
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Zip | 30355-1823
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Country | US
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Telephone | 602-692-2082
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | F12180424
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License Number State | GA
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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 | AP61401395
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License Number State | WA
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