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General NPI Number Information
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NPI Number | 1932818911
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Entity Type | Organization
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Legal Business Name | ESSIE TARR
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Dates
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Enumeration Date | 11/18/2022
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Last Update Date | 11/18/2022
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Provider Practice Location Address
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Address Line | 7681 1ST TER
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City | LAKE WORTH
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State | FL
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Zip | 33463-8101
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Country | US
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Telephone | 561-444-3293
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Fax | 561-969-9067
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Provider Business Mailing Address
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Address Line | 7681 1ST TER
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City | LAKE WORTH
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State | FL
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Zip | 33463-8101
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Country | US
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Telephone | 561-444-3293
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Fax | 561-969-9067
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Authorized Official
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Title or Position | APRN
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Name | ESSIE TARR
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Credential | APRN
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Telephone | 561-444-3293
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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