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General NPI Number Information
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NPI Number | 1366973364
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Entity Type | Individual
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Provider Name | TAMEKA R. NEVILLE FNP
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Gender | Female
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Dates
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Enumeration Date | 03/22/2017
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Last Update Date | 03/22/2017
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Provider Practice Location Address
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Address Line | 600 W HILLSBORO BLVD STE 10
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City | DEERFIELD BEACH
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State | FL
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Zip | 33441-1609
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Country | US
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Telephone | 186-644-8771
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Fax | 954-596-4746
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Provider Business Mailing Address
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Address Line | 4430 CARTIER AVE
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City | NEW ORLEANS
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State | LA
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Zip | 70122-1804
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Country | US
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Telephone | 504-322-0959
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 09237
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License Number State | LA
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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 | 132823
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License Number State | TX
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