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General NPI Number Information
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NPI Number | 1790208502
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Entity Type | Individual
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Provider Name | TANGELIA ANDREA ROUNDTREE RN
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Gender | Female
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Dates
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Enumeration Date | 07/24/2017
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Last Update Date | 03/08/2021
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Provider Practice Location Address
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Address Line | 7900 NW 27TH AVE STE E-12
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City | MIAMI
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State | FL
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Zip | 33147-4909
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Country | US
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Telephone | 786-318-2337
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Fax | 786-318-2337
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Provider Business Mailing Address
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Address Line | 7900 NW 27TH AVE STE E-12
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City | MIAMI
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State | FL
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Zip | 33147-4909
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Country | US
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Telephone | 305-495-2373
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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 | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number | RN9393049
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License Number State | FL
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