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General NPI Number Information
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NPI Number | 1740333079
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Entity Type | Individual
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Provider Name | CHRISTINA A TINGUELY M.D.
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Gender | Female
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Dates
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Enumeration Date | 01/19/2007
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Last Update Date | 03/25/2022
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Provider Practice Location Address
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Address Line | 801 BROADWAY N
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City | FARGO
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State | ND
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Zip | 58102-3641
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Country | US
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Telephone | 701-234-2241
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Fax | 701-234-4877
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Provider Business Mailing Address
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Address Line | 801 BROADWAY N
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City | FARGO
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State | ND
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Zip | 58102-3641
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Country | US
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Telephone | 701-234-2241
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Fax | 701-234-4877
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | PT11680
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License Number State | ND
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 49393
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 11680
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License Number State | ND
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