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General NPI Number Information
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NPI Number | 1568180826
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Entity Type | Individual
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Provider Name | YVETTE B TSOUNIS REGISTERED NURSE
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Gender | Female
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Dates
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Enumeration Date | 08/22/2022
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Last Update Date | 08/22/2022
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Provider Practice Location Address
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Address Line | 343 FOREST AVE
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City | PORTLAND
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State | ME
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Zip | 04101-2006
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Country | US
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Telephone | 214-379-3300
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Fax | 214-379-3322
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Provider Business Mailing Address
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Address Line | 1720 LAKEPOINTE DR STE 117
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City | LEWISVILLE
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State | TX
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Zip | 75057-6425
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Country | US
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Telephone | 214-379-3300
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Fax | 214-379-3322
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN70075
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License Number State | ME
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