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General NPI Number Information
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NPI Number | 1053416818
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Entity Type | Organization
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Legal Business Name | TENET HEALTHSYSTEM DESERT INC.
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Dates
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Enumeration Date | 09/14/2006
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Last Update Date | 06/03/2014
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Provider Practice Location Address
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Address Line | 1180 N INDIAN CANYON DR SUITE 110
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City | PALM SPRINGS
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State | CA
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Zip | 92262-4800
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Country | US
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Telephone | 760-416-4607
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Fax | 760-416-4668
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Provider Business Mailing Address
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Address Line | 1180 N INDIAN CANYON DR SUITE 110
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City | PALM SPRINGS
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State | CA
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Zip | 92262-4800
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Country | US
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Telephone | 760-416-4607
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Fax | 760-416-4668
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Authorized Official
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Title or Position | SVP OF OUTPATIENT SERVICES, TENET
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Name | MR. MICHAEL KYLE BURTNETT
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Credential |
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Telephone | 469-893-2153
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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