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General NPI Number Information
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NPI Number | 1619659323
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Entity Type | Individual
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Provider Name | ARNETTE TINEO RN
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Gender | Female
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Dates
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Enumeration Date | 08/02/2023
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Last Update Date | 08/02/2023
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Provider Practice Location Address
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Address Line | 7701 MOURNING DOVE RD
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City | RALEIGH
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State | NC
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Zip | 27615-5010
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Country | US
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Telephone | 919-847-7769
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Fax |
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Provider Business Mailing Address
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Address Line | 7800 FALLS OF NEUSE ROAD PO BOX 97576
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City | RALEIGH
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State | NC
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Zip | 27615
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Country | US
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Telephone | 984-480-6535
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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 | 163WP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Registered Nurse
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License Number | 141347
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License Number State | NC
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