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General NPI Number Information
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NPI Number | 1194136796
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Entity Type | Individual
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Provider Name | DON TARTAGLIO
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Gender | Male
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Dates
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Enumeration Date | 05/16/2014
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Last Update Date | 05/16/2014
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Provider Practice Location Address
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Address Line | 15100 N 90TH ST STE 110
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-2901
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Country | US
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Telephone | 480-231-7674
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Fax | 401-216-3650
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Provider Business Mailing Address
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Address Line | 7666 E WINGTIP WAY
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-4688
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Country | US
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Telephone | 480-231-7674
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Fax | 401-216-3650
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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 | S 014810
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP 032549L
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License Number State | PA
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