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NPI 1700097425

NPI 1700097425 : MAN TON MD : PLANO, TX

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General NPI Number Information
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    NPI Number           |    1700097425
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    Entity Type          |    Individual 
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    Provider Name        |    MAN TON MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/24/2007
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    Last Update Date     |    03/11/2025
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Provider Practice Location Address
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    Address Line         |    3001 DALLAS PKWY 
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    City                 |    PLANO
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    State                |    TX
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    Zip                  |    75093-5900
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    Country              |    US
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    Telephone            |    972-758-4455
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    Fax                  |    972-758-4433
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Provider Business Mailing Address
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    Address Line         |    PO BOX 360541 
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    City                 |    PITTSBURGH
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    State                |    PA
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    Zip                  |    15251-6541
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    Country              |    US
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    Telephone            |    972-525-9900
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    Fax                  |    469-333-7988
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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        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    R1309
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    202045
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    License Number State |    LA
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Taxonomy #3
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    1700097425
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    License Number State |    TX
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