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General NPI Number Information
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NPI Number | 1245258045
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Entity Type | Individual
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Provider Name | SCOTT TAGAWA MD
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Gender | Male
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Dates
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Enumeration Date | 07/18/2006
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Last Update Date | 11/10/2011
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Provider Practice Location Address
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Address Line | 525 E 68TH ST STARR 341, WCMC DIVISION OF HEMATOLOGY & ONCOLOGY
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City | NEW YORK
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State | NY
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Zip | 10065-4870
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Country | US
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Telephone | 212-746-6717
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Fax |
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Provider Business Mailing Address
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Address Line | 525 E 68TH ST NYP-WCMC PAYSON PAVILLION 3RD FLOOR
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City | NEW YORK
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State | NY
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Zip | 10065-4870
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Country | US
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Telephone | 212-746-6717
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 70818
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License Number State | CA
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