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General NPI Number Information
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NPI Number | 1396159240
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Entity Type | Individual
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Provider Name | PIERRETTE TOUSSAINT MD
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Gender | Female
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Dates
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Enumeration Date | 06/19/2014
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Last Update Date | 08/14/2024
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Provider Practice Location Address
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Address Line | PO BOX 27066
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City | FORT WORTH
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State | TX
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Zip | 76127-0066
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Country | US
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Telephone | 817-782-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 1614 BIRCH ST
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City | MANSFIELD
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State | TX
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Zip | 76063-4467
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Country | US
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Telephone | 954-446-4295
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 3062
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | TW-00564
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | TPME7027
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 19004
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License Number State | PR
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