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General NPI Number Information
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NPI Number | 1770714065
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Entity Type | Individual
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Provider Name | IRENE TINTIN TUNG M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/04/2009
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Last Update Date | 05/13/2024
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Provider Practice Location Address
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Address Line | 17580 INTERSTATE 45 S
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City | THE WOODLANDS
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State | TX
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Zip | 77384-4972
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Country | US
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Telephone | 936-267-7377
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Fax |
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Provider Business Mailing Address
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Address Line | 17580 INTERSTATE 45 S
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City | THE WOODLANDS
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State | TX
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Zip | 77384-4972
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Country | US
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Telephone |
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Fax |
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 57015968
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | P7588
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 2012-01071
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 207WX0110X
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Taxonomy Name | Pediatric Ophthalmology and Strabismus Specialist Physician Physician
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License Number | P7588
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License Number State | TX
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