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General NPI Number Information
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NPI Number | 1124056619
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Entity Type | Individual
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Provider Name | ARTHUR TIJERINA M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/30/2006
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Last Update Date | 02/02/2010
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Provider Practice Location Address
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Address Line | 811 E AUSTIN ST
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City | PARIS
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State | TX
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Zip | 75460-7353
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Country | US
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Telephone | 903-785-0338
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Fax | 903-785-5369
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Provider Business Mailing Address
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Address Line | 811 E AUSTIN ST
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City | PARIS
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State | TX
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Zip | 75460-7353
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Country | US
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Telephone | 903-785-0338
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Fax | 903-785-5369
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | D6196
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License Number State | TX
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