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General NPI Number Information
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NPI Number | 1790406767
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Entity Type | Individual
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Provider Name | BETHANY C TONGUIS
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Gender | Female
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Dates
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Enumeration Date | 09/08/2022
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Last Update Date | 06/27/2025
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Provider Practice Location Address
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Address Line | 2700 NAPOLEON AVE
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City | NEW ORLEANS
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State | LA
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Zip | 70115-6914
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Country | US
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Telephone | 504-894-2880
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Fax |
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Provider Business Mailing Address
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Address Line | 320 RACETRACK RD NW STE 100A
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City | FORT WALTON BEACH
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State | FL
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Zip | 32547-1796
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Country | US
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Telephone |
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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 | 163WX0003X
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Taxonomy Name | Inpatient Obstetric Registered Nurse
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License Number | RN9349846
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | APRN11022540
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 234958
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License Number State | LA
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Taxonomy #4
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 234958
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License Number State | LA
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