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General NPI Number Information
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NPI Number | 1831862333
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Entity Type | Individual
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Provider Name | TAMRA JEAN PRESTON NP
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Gender | Female
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Dates
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Enumeration Date | 07/29/2021
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 307 S INDIANA AVE
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City | ENGLISH
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State | IN
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Zip | 47118-5851
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Country | US
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Telephone | 812-338-2924
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Fax |
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Provider Business Mailing Address
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Address Line | 1389 N COUNTY ROAD 125 W
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City | PAOLI
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State | IN
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Zip | 47454-9641
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 71011343A
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License Number State | IN
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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 | 71011343A
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License Number State | IN
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