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General NPI Number Information
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NPI Number | 1104350990
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Entity Type | Individual
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Provider Name | HILLARY A TAMAR MD
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Gender | Female
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Dates
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Enumeration Date | 04/18/2017
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 2814 S 108TH ST
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City | WEST ALLIS
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State | WI
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Zip | 53227-3224
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Country | US
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Telephone | 414-885-3525
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Fax |
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Provider Business Mailing Address
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Address Line | 8444 N 90TH ST STE 100
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-4437
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Country | US
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Telephone | 602-248-8886
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD61052133
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number | MD219147
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 35C.002929
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 01097311A
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License Number State | IN
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Taxonomy #5
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 75886
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License Number State | WI
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