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General NPI Number Information
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NPI Number | 1235484130
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Entity Type | Organization
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Legal Business Name | DR. TRACY PIPKIN MD PA
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Dates
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Enumeration Date | 07/17/2012
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Last Update Date | 07/17/2012
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Provider Practice Location Address
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Address Line | 2870 LEWIS LN SUITE 229
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City | PARIS
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State | TX
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Zip | 75460-9379
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Country | US
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Telephone | 903-739-9006
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Fax |
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Provider Business Mailing Address
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Address Line | 2870 LEWIS LN SUITE 229
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City | PARIS
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State | TX
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Zip | 75460-9379
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Country | US
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Telephone | 903-739-9006
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. TRACY PIPKIN
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Credential | MD
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Telephone | 903-739-9006
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | L5097
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License Number State | TX
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