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NPI 1518121078

NPI 1518121078 : TINA MICHELLE WESTMORELAND RN CNOR RNFA : DALLAS, TX

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General NPI Number Information
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    NPI Number           |    1518121078
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    Entity Type          |    Individual 
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    Provider Name        |    TINA MICHELLE WESTMORELAND RN CNOR RNFA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/14/2008
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    Last Update Date     |    08/10/2009
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Provider Practice Location Address
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    Address Line         |    10830 N CENTRAL EXPY SUITE 120
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    City                 |    DALLAS
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    State                |    TX
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    Zip                  |    75231-1050
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    Country              |    US
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    Telephone            |    214-378-9898
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    Fax                  |    214-378-9888
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Provider Business Mailing Address
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    Address Line         |    PO BOX 670039 
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    City                 |    DALLAS
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    State                |    TX
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    Zip                  |    75367-0039
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    Country              |    US
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    Telephone            |    214-378-9898
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    Fax                  |    214-378-9888
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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        |    163WR0006X
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    Taxonomy Name        |    Registered Nurse First Assistant
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    License Number       |    523559
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    License Number State |    TX
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