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General NPI Number Information
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NPI Number | 1134611403
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Entity Type | Individual
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Provider Name | CHRISTOPHER A TIANGCO AGPCNP-BC
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Gender | Male
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Dates
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Enumeration Date | 06/03/2018
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 2400 AUGUSTA DR STE 369
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City | HOUSTON
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State | TX
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Zip | 77057-4911
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Country | US
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Telephone | 888-880-3451
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 39077
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City | BELFAST
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State | ME
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Zip | 04915-1232
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Country | US
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Telephone | 346-345-2092
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Fax | 281-883-4395
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP136662
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License Number State | TX
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