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General NPI Number Information
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NPI Number | 1639351737
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Entity Type | Individual
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Provider Name | TAMMY SIMPSON CALVASINA CRNA
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Gender | Female
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Dates
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Enumeration Date | 11/29/2007
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Last Update Date | 12/20/2019
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Provider Practice Location Address
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Address Line | 7111 FAIRWAY DR STE 450
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33418-4200
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Country | US
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Telephone | 865-380-8376
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Fax |
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Provider Business Mailing Address
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Address Line | 3901 WHEELERS RUN CV
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City | BARTLETT
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State | TN
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Zip | 38135-1975
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Country | US
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Telephone | 901-212-6344
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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 | 6815
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 6815
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | ARNP9490618
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License Number State | FL
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