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General NPI Number Information
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NPI Number | 1366413247
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Entity Type | Organization
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Legal Business Name | TINSLEY ASSOCIATES, LLP
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Dates
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Enumeration Date | 01/30/2006
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Last Update Date | 12/03/2019
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Provider Practice Location Address
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Address Line | 1510 E GRANDE BLVD
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City | TYLER
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State | TX
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Zip | 75703-3978
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Country | US
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Telephone | 903-533-0290
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Fax | 903-533-0298
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Provider Business Mailing Address
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Address Line | PO BOX 131749
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City | TYLER
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State | TX
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Zip | 75713-1749
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Country | US
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Telephone | 903-533-0290
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Fax | 903-533-0298
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Authorized Official
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Title or Position | BILLING SPECIALIST
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Name | MRS. PAM BALOCK
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Credential |
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Telephone | 903-537-8656
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 016947
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License Number State | TX
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