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General NPI Number Information
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NPI Number | 1598831745
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Entity Type | Individual
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Provider Name | TAMERA ELAINE TODD FNP
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Gender | Female
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Dates
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Enumeration Date | 11/28/2006
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Last Update Date | 09/01/2023
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Provider Practice Location Address
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Address Line | 207 NW 8TH ST
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City | SEMINOLE
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State | TX
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Zip | 79360-3447
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Country | US
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Telephone | 432-758-4944
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Fax | 432-758-4747
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Provider Business Mailing Address
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Address Line | 207 NW 8TH ST
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City | SEMINOLE
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State | TX
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Zip | 79360-3447
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Country | US
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Telephone | 432-758-4944
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Fax | 432-758-4747
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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 | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 555315
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | 555315
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP106614
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License Number State | TX
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