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General NPI Number Information
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NPI Number | 1467867275
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Entity Type | Individual
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Provider Name | TINA M SPEAR APRN
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Gender | Female
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Dates
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Enumeration Date | 07/01/2014
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Last Update Date | 10/30/2023
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Provider Practice Location Address
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Address Line | 8025 LEE VISTA BLVD
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City | ORLANDO
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State | FL
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Zip | 32829-8374
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Country | US
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Telephone | 407-376-8836
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Fax |
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Provider Business Mailing Address
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Address Line | 6244 LITTLE LAKE SAWYER DR
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City | WINDERMERE
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State | FL
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Zip | 34786-7306
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Country | US
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Telephone | 407-576-5766
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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 | ARNP9303129
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License Number State | FL
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