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General NPI Number Information
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NPI Number | 1831899343
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Entity Type | Individual
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Provider Name | TARA BARONE
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Gender | Female
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Dates
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Enumeration Date | 03/06/2023
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Last Update Date | 03/06/2023
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Provider Practice Location Address
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Address Line | 120 E PAR ST STE 1000
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City | ORLANDO
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State | FL
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Zip | 32804-3943
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Country | US
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Telephone | 407-770-2002
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Fax |
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Provider Business Mailing Address
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Address Line | 1212 ALTALOMA AVE
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City | ORLANDO
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State | FL
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Zip | 32803-2711
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Country | US
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Telephone | 321-217-5277
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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 | 11017035
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License Number State | FL
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