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General NPI Number Information
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NPI Number | 1528945532
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Entity Type | Individual
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Provider Name | JAMIE TANNER VLASIC DNP, WHNP-BC, MSCP
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Gender |
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Dates
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Enumeration Date | 08/20/2025
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Last Update Date | 01/13/2026
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Provider Practice Location Address
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Address Line | 9624 BAILEY RD STE 285
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City | CORNELIUS
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State | NC
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Zip | 28031-6124
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Country | US
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Telephone | 847-636-1575
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Fax |
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Provider Business Mailing Address
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Address Line | 9624 BAILEY RD STE 285
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City | CORNELIUS
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State | NC
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Zip | 28031-6124
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Country | US
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Telephone | 704-702-6023
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Fax | 833-428-7800
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 5022893
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License Number State | NC
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