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General NPI Number Information
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NPI Number | 1326657040
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Entity Type | Individual
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Provider Name | TAMARA GATER DDS
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Gender | Female
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Dates
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Enumeration Date | 07/28/2020
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Last Update Date | 07/28/2020
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Provider Practice Location Address
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Address Line | 1415 E RENNER RD STE 250
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City | RICHARDSON
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State | TX
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Zip | 75082-2158
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Country | US
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Telephone | 972-231-9499
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Fax | 972-231-9585
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Provider Business Mailing Address
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Address Line | 3520 ENCLAVE TRL
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City | PLANO
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State | TX
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Zip | 75074-7514
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Country | US
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Telephone | 469-230-1348
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 36376
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License Number State | TX
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