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General NPI Number Information
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NPI Number | 1407892573
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Entity Type | Individual
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Provider Name | NORMAN R TINGLE JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/20/2006
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Last Update Date | 09/15/2020
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Provider Practice Location Address
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Address Line | 1111 12TH ST STE 203
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City | KEY WEST
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State | FL
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Zip | 33040
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Country | US
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Telephone | 305-294-1706
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Fax | 305-294-1764
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Provider Business Mailing Address
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Address Line | 3428 N ROOSEVELT BLVD
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City | KEY WEST
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State | FL
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Zip | 33040-4224
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Country | US
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Telephone | 305-294-1706
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Fax | 305-294-1764
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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 | ME115499
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License Number State | FL
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