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Individual
TAMARA S BEHEN
Active
Individual
TAMARA S BEHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28188823A
IN
363L00000X
Nurse Practitioner
71010401A
IN
363LF0000X
Family Nurse Practitioner
Primary
71010401A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
090540561
MEDICARE
IN
05
—
300044244
—
IN
Enumeration date
09/08/2020
Last updated
09/19/2022
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