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General NPI Number Information
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NPI Number | 1386041846
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Entity Type | Organization
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Legal Business Name | REYNALDO T TOLENTINO MD PLLC
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Dates
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Enumeration Date | 11/29/2014
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Last Update Date | 11/29/2014
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Provider Practice Location Address
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Address Line | 4301 COLLEGE DR RM 500
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City | VERNON
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State | TX
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Zip | 76384-3128
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Country | US
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Telephone | 940-552-6800
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Fax | 940-552-6802
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Provider Business Mailing Address
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Address Line | 4301 COLLEGE DR RM 500
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City | VERNON
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State | TX
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Zip | 76384-3128
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Country | US
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Telephone | 940-552-6800
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Fax | 940-552-6802
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Authorized Official
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Title or Position | SOLE OWNER/MEMBER
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Name | REYNALDO T TOLENTINO
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Credential | MD
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Telephone | 940-552-6800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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