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General NPI Number Information
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NPI Number | 1073739199
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Entity Type | Individual
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Provider Name | SIMEON H TANG PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 04/17/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 7400 E OSBORN RD
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-6432
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Country | US
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Telephone | 480-882-4854
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Fax |
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Provider Business Mailing Address
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Address Line | 16601 N 12TH ST 2055
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City | PHOENIX
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State | AZ
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Zip | 85022
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Country | US
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Telephone |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 15060
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 15060
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License Number State | AZ
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