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General NPI Number Information
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NPI Number | 1538645239
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Entity Type | Organization
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Legal Business Name | TINA BARBOUR PLLC
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Dates
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Enumeration Date | 07/16/2018
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Last Update Date | 01/03/2020
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Provider Practice Location Address
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Address Line | 4510 MEDICAL CENTER DR
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City | MCKINNEY
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State | TX
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Zip | 75069-1650
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Country | US
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Telephone | 618-604-4021
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2358
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City | MCKINNEY
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State | TX
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Zip | 75070-8169
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Country | US
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Telephone | 214-892-8222
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Fax | 866-207-2534
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Authorized Official
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Title or Position | OWNER
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Name | DR. TINA MARIE GINGRICH
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Credential | MD
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Telephone | 214-295-8675
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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 |
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License Number State |
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