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General NPI Number Information
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NPI Number | 1518201433
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Entity Type | Organization
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Legal Business Name | TINA MARIE PAUL MD INC
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Dates
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Enumeration Date | 11/15/2012
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Last Update Date | 11/15/2012
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Provider Practice Location Address
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Address Line | 979 N GEM ST
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City | TULARE
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State | CA
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Zip | 93274-2127
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Country | US
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Telephone | 559-688-2229
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Fax | 559-686-0471
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Provider Business Mailing Address
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Address Line | 979 N GEM ST
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City | TULARE
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State | CA
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Zip | 93274-2127
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Country | US
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Telephone | 559-688-2229
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Fax | 559-686-0471
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Authorized Official
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Title or Position | OWNER / PRESIDENT
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Name | TINA PAUL
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Credential | MD
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Telephone | 559-688-2229
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | A107210
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License Number State | CA
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