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General NPI Number Information
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NPI Number | 1104030782
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Entity Type | Individual
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Provider Name | THOMAS M. RATINO M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 900 JEROME ST STE 400
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City | FORT WORTH
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State | TX
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Zip | 76104-3942
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Country | US
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Telephone | 817-332-6092
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Fax | 817-402-7731
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Provider Business Mailing Address
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Address Line | PO BOX 747
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City | FORT WORTH
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State | TX
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Zip | 76101-0747
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Country | US
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Telephone | 817-332-6092
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Fax | 817-402-7731
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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 | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | M7558
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License Number State | TX
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