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General NPI Number Information
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NPI Number | 1093975906
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Entity Type | Individual
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Provider Name | TINA H BAYLE CPNP-PC/AC
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Gender | Female
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Dates
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Enumeration Date | 06/13/2008
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Last Update Date | 11/08/2023
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Provider Practice Location Address
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Address Line | 7777 FOREST LANE D569
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City | DALLAS
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State | TX
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Zip | 75230
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Country | US
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Telephone | 972-566-8340
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Fax | 972-566-8338
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Provider Business Mailing Address
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Address Line | 7777 FOREST LANE D569
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City | DALLAS
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State | TX
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Zip | 75230
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Country | US
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Telephone | 972-566-8340
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Fax | 972-566-8338
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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 | 163WP0200X
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Taxonomy Name | Pediatric Registered Nurse
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License Number | 607588
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | AP117022
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 363LP0222X
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Taxonomy Name | Critical Care Pediatric Nurse Practitioner
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License Number | 117022
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License Number State | TX
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