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General NPI Number Information
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NPI Number | 1710871272
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Entity Type | Organization
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Legal Business Name | TRANQUILICARE
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Dates
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Enumeration Date | 06/06/2025
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 3000 JOE DIMAGGIO BLVD STE 87
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City | ROUND ROCK
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State | TX
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Zip | 78665-3992
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Country | US
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Telephone | 512-774-4685
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Fax | 512-549-7641
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Provider Business Mailing Address
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Address Line | 1018 SPEEGLE ST
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City | TAYLOR
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State | TX
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Zip | 76574-2658
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Country | US
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Telephone | 512-914-2865
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Fax | 512-549-7641
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | MELINDA KAY RYAN
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Credential | NP
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Telephone | 512-914-2865
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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 |
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License Number State |
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