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General NPI Number Information
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NPI Number | 1366256711
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Entity Type | Individual
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Provider Name | MARY F INGARGIOLA FNP-C
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Gender | Female
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Dates
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Enumeration Date | 02/05/2025
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Last Update Date | 11/20/2025
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Provider Practice Location Address
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Address Line | 890 ROCKWALL PKWY STE 100
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City | ROCKWALL
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State | TX
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Zip | 75032-6871
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Country | US
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Telephone | 214-306-4456
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Fax |
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Provider Business Mailing Address
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Address Line | 208 GREENSHADE LN
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City | CADDO MILLS
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State | TX
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Zip | 75135-6580
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Country | US
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Telephone | 850-686-4864
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | F02250024
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License Number State | TX
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