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NPI 1639267123

NPI 1639267123 : TAMMIE TURNER M.D. : WACO, TX

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General NPI Number Information
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    NPI Number           |    1639267123
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    Entity Type          |    Individual 
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    Provider Name        |    TAMMIE TURNER M.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/10/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    3501 N 19TH ST 
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    City                 |    WACO
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    State                |    TX
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    Zip                  |    76708-2097
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    Country              |    US
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    Telephone            |    254-745-5105
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    Fax                  |    254-745-5137
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Provider Business Mailing Address
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    Address Line         |    3501 N 19TH ST 
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    City                 |    WACO
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    State                |    TX
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    Zip                  |    76708-2007
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    Country              |    US
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    Telephone            |    254-745-5105
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    Fax                  |    254-745-5137
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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        |    174400000X
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    Taxonomy Name        |    Specialist
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    License Number       |    H2852
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    License Number State |    TX
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