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General NPI Number Information
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NPI Number | 1649094442
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Entity Type | Individual
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Provider Name | TONYA SUZETTE MARRERO MSN, APRN, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 11/09/2024
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Last Update Date | 09/20/2026
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Provider Practice Location Address
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Address Line | 21808 STATE ROAD 54
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City | LUTZ
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State | FL
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Zip | 33549-6923
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Country | US
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Telephone | 813-428-6100
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Fax |
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Provider Business Mailing Address
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Address Line | 3490 LEMA DR
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City | SPRING HILL
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State | FL
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Zip | 34609-2814
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Country | US
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Telephone | 309-232-3245
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | TEMP905015
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | RN9315934
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 257830
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License Number State | AK
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | TEMP905015
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License Number State | NV
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Taxonomy #5
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN143719
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License Number State | AZ
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Taxonomy #6
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 899151
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License Number State | NY
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Taxonomy #7
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN11050986
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License Number State | FL
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