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General NPI Number Information
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NPI Number | 1922721232
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Entity Type | Individual
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Provider Name | TULSI AMIN AGACNP
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Gender | Female
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Dates
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Enumeration Date | 09/21/2022
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Last Update Date | 09/21/2022
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Provider Practice Location Address
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Address Line | 5341 ATLANTIC AVE STE 301
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City | DELRAY BEACH
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State | FL
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Zip | 33484-8166
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Country | US
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Telephone | 561-450-9933
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Fax |
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Provider Business Mailing Address
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Address Line | 10628 WHEELHOUSE CIR
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City | BOCA RATON
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State | FL
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Zip | 33428-1216
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Country | US
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Telephone | 704-737-4391
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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 | 11021782
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License Number State | FL
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