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General NPI Number Information
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NPI Number | 1508569567
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Entity Type | Individual
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Provider Name | TAMARA SUE PIPPIN FNP
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Gender | Female
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Dates
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Enumeration Date | 03/27/2023
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Last Update Date | 07/21/2025
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Provider Practice Location Address
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Address Line | 2263 FINCH CIR
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City | SAN JACINTO
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State | CA
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Zip | 92582-6964
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Country | US
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Telephone | 760-525-5894
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Fax | 951-418-3938
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Provider Business Mailing Address
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Address Line | 17855 DALLAS PKWY STE 200
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City | DALLAS
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State | TX
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Zip | 75287-6857
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Country | US
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Telephone |
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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 | 95026915
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License Number State | CA
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