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General NPI Number Information
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NPI Number | 1912864430
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Entity Type | Individual
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Provider Name | TARA LYNETTE BRACY RN, APRN
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Gender | Female
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Dates
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Enumeration Date | 01/07/2026
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Last Update Date | 08/11/2026
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Provider Practice Location Address
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Address Line | 9210 SEVEN HILLS CURV S
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City | MOBILE
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State | AL
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Zip | 36695-9602
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Country | US
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Telephone | 251-301-3521
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Fax |
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Provider Business Mailing Address
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Address Line | 9210 SEVEN HILLS CURV S
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City | MOBILE
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State | AL
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Zip | 36695-9602
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 1-147816
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | PMH06260031
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License Number State | AL
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