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General NPI Number Information
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NPI Number | 1609334531
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Entity Type | Individual
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Provider Name | TAMARA COLEBURN APRN
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Gender | Female
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Dates
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Enumeration Date | 03/11/2019
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Last Update Date | 10/17/2025
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Provider Practice Location Address
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Address Line | 10101 FOREST HILL BLVD
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City | WELLINGTON
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State | FL
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Zip | 33414-6103
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Country | US
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Telephone | 561-798-8500
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Fax |
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Provider Business Mailing Address
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Address Line | 1290 SILAS DEANE HWY HHC-CVO
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City | WETHERSFIELD
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State | CT
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Zip | 06109-4337
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Country | US
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Telephone | 305-467-3741
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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 | 14385
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN11000560
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License Number State | FL
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