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General NPI Number Information
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NPI Number | 1982669883
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Entity Type | Individual
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Provider Name | MARC A TRIBBLE M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/20/2006
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Last Update Date | 08/03/2020
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Provider Practice Location Address
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Address Line | 3500 OAK LAWN AVE STE 700
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City | DALLAS
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State | TX
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Zip | 75219-6719
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Country | US
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Telephone | 214-521-0100
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Fax | 214-521-0104
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Provider Business Mailing Address
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Address Line | 3500 OAK LAWN AVE STE 700
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City | DALLAS
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State | TX
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Zip | 75219-6719
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Country | US
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Telephone | 214-521-0100
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Fax | 214-521-0104
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | K5723
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | K5723
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | K5723
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License Number State | TX
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