Can I enter the USA as a tourist if I have been approved for a visa but don't have a visa stamp?

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Not sure exactly what you mean by activation. Assuming you have already received the visa, you simply need to leave the United States for at least 24 hours. Then you can come back in under the new visa.

Also, depending on your nationality, you may qualify for a transit visa waiver. See http://travel.state.gov/content/visas/english/other/transit.html for more information about that.

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