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General NPI Number Information
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NPI Number | 1750788568
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Entity Type | Individual
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Provider Name | TAMMIE GENERETTE APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 11/21/2014
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Last Update Date | 02/06/2026
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Provider Practice Location Address
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Address Line | 1301 W 38TH ST STE 514
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City | AUSTIN
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State | TX
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Zip | 78705-1014
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Country | US
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Telephone | 512-681-0500
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Fax |
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Provider Business Mailing Address
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Address Line | 1403 FAWN LILY DR
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City | TEMPLE
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State | TX
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Zip | 76502-7809
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Country | US
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Telephone | 832-453-9341
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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 | AP126457
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License Number State | TX
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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 | 87862
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License Number State | NM
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