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General NPI Number Information
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NPI Number | 1912500406
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Entity Type | Individual
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Provider Name | TONYA LYNN DAGDA APRN
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Gender | Female
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Dates
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Enumeration Date | 11/18/2020
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Last Update Date | 01/01/2021
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Provider Practice Location Address
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Address Line | 410 SEBRING SQ
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City | SEBRING
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State | FL
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Zip | 33870-1602
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Country | US
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Telephone | 863-382-2229
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Fax | 863-385-2229
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Provider Business Mailing Address
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Address Line | 410 SEBRING SQ
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City | SEBRING
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State | FL
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Zip | 33870-1602
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Country | US
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Telephone | 863-382-2229
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Fax | 863-385-2229
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | APRN11000945
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License Number State | FL
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