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General NPI Number Information
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NPI Number | 1891743761
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Entity Type | Individual
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Provider Name | LARRY TINSLEY VIII MD
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Gender | Male
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Dates
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Enumeration Date | 05/04/2006
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Last Update Date | 03/16/2015
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Provider Practice Location Address
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Address Line | CHILDRENS HOSPITAL CENTRAL CALIRORNIA NICU 9300 VALLEY CHILDRENS PLACE
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City | MADERA
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State | CA
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Zip | 93638-8762
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Country | US
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Telephone | 909-285-3450
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Fax |
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Provider Business Mailing Address
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Address Line | 1895 AMBROSIA AVE
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City | UPLAND
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State | CA
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Zip | 91784-9215
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Country | US
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Telephone | 909-285-3450
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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 | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | A26313
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License Number State | CA
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