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General NPI Number Information
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NPI Number | 1275989972
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Entity Type | Individual
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Provider Name | ANDRE TARIN NP
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Gender | Male
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Dates
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Enumeration Date | 05/11/2016
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 13430 N SCOTTSDALE RD STE 101
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-4059
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Country | US
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Telephone | 480-729-5487
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Fax | 480-674-5919
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Provider Business Mailing Address
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Address Line | 13430 N SCOTTSDALE RD STE 101
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-4059
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Country | US
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Telephone | 480-729-5487
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Fax | 480-674-5919
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP8653
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License Number State | AZ
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