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General NPI Number Information
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NPI Number | 1982030896
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Entity Type | Individual
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Provider Name | TAMARA L FEHR PA
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Gender | Female
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Dates
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Enumeration Date | 09/24/2013
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Last Update Date | 10/18/2024
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Provider Practice Location Address
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Address Line | 1035 PIPER BLVD # 101
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City | NAPLES
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State | FL
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Zip | 34110-1449
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Country | US
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Telephone | 239-465-4157
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Fax |
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Provider Business Mailing Address
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Address Line | 12109 COUNTY ROAD 103
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City | OXFORD
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State | FL
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Zip | 34484-2951
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Country | US
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Telephone | 727-441-1508
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA9107439
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License Number State | FL
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