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General NPI Number Information
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NPI Number | 1700706215
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Entity Type | Individual
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Provider Name | CARINSA MICHELLE GASTON BSRT(T)
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Gender | Female
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Dates
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Enumeration Date | 07/16/2026
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Last Update Date | 07/16/2026
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Provider Practice Location Address
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Address Line | 6200 W PARKER RD
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City | PLANO
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State | TX
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Zip | 75093-8185
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Country | US
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Telephone | 972-984-8643
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Fax | 972-981-8978
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Provider Business Mailing Address
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Address Line | 5701 NORFOLK LN
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City | FRISCO
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State | TX
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Zip | 75035-7980
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Country | US
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Telephone | 972-981-8643
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Fax | 972-984-8978
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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 | 2471R0002X
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Taxonomy Name | Radiation Therapy Radiologic Technologist
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License Number | GMR00012771
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License Number State | TX
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