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General NPI Number Information
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NPI Number | 1497767230
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Entity Type | Organization
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Legal Business Name | CORRINNA T. TIONGSON, MD, PA
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Dates
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Enumeration Date | 08/12/2006
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Last Update Date | 09/22/2008
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Provider Practice Location Address
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Address Line | 2606 CORNERSTONE BLVD
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City | EDINBURG
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State | TX
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Zip | 78539-9122
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Country | US
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Telephone | 956-682-6860
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Fax | 956-682-8050
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Provider Business Mailing Address
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Address Line | 2606 CORNERSTONE BLVD
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City | EDINBURG
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State | TX
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Zip | 78539-9122
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Country | US
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Telephone | 956-682-6860
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Fax | 956-682-8050
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CORRINNA T TIONGSON
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Credential | M.D.
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Telephone | 956-682-6860
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | K1702
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License Number State | TX
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