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General NPI Number Information
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NPI Number | 1902346943
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Entity Type | Individual
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Provider Name | AMARE TENA M.D
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Gender | Male
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Dates
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Enumeration Date | 02/23/2017
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Last Update Date | 07/28/2023
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Provider Practice Location Address
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Address Line | 200 MEMORIAL AVE
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City | WESTMINSTER
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State | MD
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Zip | 21157-5726
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Country | US
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Telephone | 775-204-1400
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Fax |
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Provider Business Mailing Address
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Address Line | 3105 CALVIN RD
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City | MCKINNEY
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State | TX
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Zip | 75071-1419
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Country | US
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Telephone | 202-817-8092
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | D0088664
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | U2336
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License Number State | TX
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