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General NPI Number Information
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NPI Number | 1952278996
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Entity Type | Individual
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Provider Name | TANIA UNGERER DNP
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Gender | Female
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Dates
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Enumeration Date | 10/23/2025
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Last Update Date | 10/23/2025
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Provider Practice Location Address
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Address Line | 3808 S PROVIDENCE RD STE 103
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City | WAXHAW
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State | NC
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Zip | 28173-9511
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Country | US
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Telephone | 704-256-7027
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Fax |
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Provider Business Mailing Address
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Address Line | 4079 WHITTIER LN
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City | TEGA CAY
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State | SC
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Zip | 29708-0090
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 31151
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License Number State | SC
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