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General NPI Number Information
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NPI Number | 1992105175
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Entity Type | Organization
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Legal Business Name | FRANCES M. TINKER, MD
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Dates
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Enumeration Date | 08/25/2014
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Last Update Date | 08/25/2014
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Provider Practice Location Address
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Address Line | 17300 MARILLA ST
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City | NORTHRIDGE
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State | CA
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Zip | 91325-1824
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Country | US
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Telephone | 818-590-1003
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Fax |
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Provider Business Mailing Address
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Address Line | 17300 MARILLA ST
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City | NORTHRIDGE
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State | CA
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Zip | 91325-1824
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Country | US
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Telephone | 818-590-1003
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | ROBIN WAYNE LARSON
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Credential | MD
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Telephone | 818-590-1003
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | G040572
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License Number State | CA
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