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General NPI Number Information
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NPI Number | 1013328780
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Entity Type | Individual
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Provider Name | GABRIEL WILLIAM TONKIN M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/15/2014
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 2500 N. STATE ST. DEPT. OF EMERGENCY MEDICINE
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City | JACKSON
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State | MS
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Zip | 39216
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Country | US
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Telephone | 601-984-5582
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Fax |
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Provider Business Mailing Address
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Address Line | 100 WILSON RD STE 100
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City | MONTEREY
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State | CA
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Zip | 93940-7885
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Country | US
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Telephone | 601-984-5582
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | A154171
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 77569
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 25117
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License Number State | MS
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