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General NPI Number Information
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NPI Number | 1831185941
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Entity Type | Individual
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Provider Name | MARIE BLANCHE N TCHETGEN MD
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Gender | Female
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Dates
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Enumeration Date | 09/23/2005
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Last Update Date | 01/30/2024
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Provider Practice Location Address
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Address Line | 4370 MEDICAL ARTS DR STE 340
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City | FLOWER MOUND
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State | TX
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Zip | 75028
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Country | US
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Telephone | 972-394-4500
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Fax | 214-513-2059
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Provider Business Mailing Address
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Address Line | 3600 GASTON AVE STE 1205
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City | DALLAS
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State | TX
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Zip | 75246-1812
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Country | US
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Telephone | 214-692-8262
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Fax | 214-513-2059
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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 | 2088F0040X
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Taxonomy Name | Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
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License Number | L3497
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | L3497
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License Number State | TX
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