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General NPI Number Information
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NPI Number | 1417810698
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Entity Type | Individual
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Provider Name | MRS. TONYA GALE MAPES
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Gender | Female
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Dates
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Enumeration Date | 12/04/2025
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 17284 COUNTY ROAD 1100
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City | FLINT
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State | TX
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Zip | 75762-8707
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Country | US
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Telephone | 903-216-9840
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Fax |
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Provider Business Mailing Address
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Address Line | 17284 COUNTY ROAD 1100
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City | FLINT
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State | TX
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Zip | 75762-8707
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Country | US
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Telephone | 903-216-9840
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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 | 246RP1900X
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Taxonomy Name | Phlebotomy Technician
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License Number | Q5R2G8Y5
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License Number State | TX
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