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General NPI Number Information
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NPI Number | 1366684979
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Entity Type | Individual
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Provider Name | TINA RIGSBY PROUSALIS A.R.N.P
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Gender | Female
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Dates
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Enumeration Date | 03/27/2009
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 701 TALLEVAST RD. SUN HYDROLICS
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City | SARASOTA
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State | FL
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Zip | 34243
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Country | US
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Telephone | 941-362-1300
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Fax | 941-362-1349
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Provider Business Mailing Address
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Address Line | 4601 CHARLOTTE PARK DR STE 390
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City | CHARLOTTE
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State | NC
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Zip | 28217-1900
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Country | US
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Telephone | 704-529-6161
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Fax | 704-831-6097
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 4009700
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License Number State | KY
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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 | 2680462
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 1183108
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License Number State | TX
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