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General NPI Number Information
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NPI Number | 1306671300
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Entity Type | Individual
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Provider Name | TINOKA MCPHERSON MD, DMD-MPH, PHD
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Gender | Female
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Dates
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Enumeration Date | 09/09/2024
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Last Update Date | 09/09/2024
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Provider Practice Location Address
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Address Line | 6922 S JEFFERY BLVD APT PH
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City | CHICAGO
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State | IL
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Zip | 60649-1566
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Country | US
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Telephone | 312-912-9123
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Fax |
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Provider Business Mailing Address
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Address Line | 6922 S JEFFERY BLVD APT PH
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City | CHICAGO
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State | IL
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Zip | 60649-1566
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Country | US
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Telephone | 312-912-9123
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Fax |
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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 | 1223D0001X
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Taxonomy Name | Public Health Dentistry
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License Number | 714142
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 714142
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 2084P0301X
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Taxonomy Name | Brain Injury Medicine (Psychiatry & Neurology) Physician
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License Number | 714142
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 714142
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License Number State | IL
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Taxonomy #5
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 714142
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License Number State | IL
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Taxonomy #6
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 714142
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License Number State | IL
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Taxonomy #7
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Taxonomy Code | 2084P2900X
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Taxonomy Name | Pain Medicine (Psychiatry & Neurology) Physician
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License Number | 714142
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License Number State | IL
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Taxonomy #8
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Taxonomy Code | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number | 714142
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License Number State | IL
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Taxonomy #9
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Taxonomy Code | 2084S0012X
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Taxonomy Name | Sleep Medicine (Psychiatry & Neurology) Physician
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License Number | 714142
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License Number State | IL
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Taxonomy #10
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 714142
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License Number State | IL
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