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General NPI Number Information
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NPI Number | 1447809926
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Entity Type | Individual
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Provider Name | TAMMY LYNN TUNIS FNP
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Gender | Female
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Dates
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Enumeration Date | 09/08/2019
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Last Update Date | 01/03/2025
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Provider Practice Location Address
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Address Line | 2286 CROSSWIND DR STE C
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City | PRESCOTT
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State | AZ
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Zip | 86301-6100
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Country | US
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Telephone | 928-216-3160
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Fax | 888-571-3458
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Provider Business Mailing Address
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Address Line | 12361 W BOLA DR STE 109
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City | SURPRISE
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State | AZ
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Zip | 85378-9021
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Country | US
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Telephone | 623-227-1000
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Fax | 623-227-2000
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 233369
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License Number State | AZ
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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 | 233369
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License Number State | AZ
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