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General NPI Number Information
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NPI Number | 1316928351
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Entity Type | Individual
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Provider Name | DAVID J TILSTRA MD
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Gender | Male
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Dates
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Enumeration Date | 11/08/2005
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Last Update Date | 12/13/2011
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Provider Practice Location Address
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Address Line | 1900 CENTRACARE CIR
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City | SAINT CLOUD
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State | MN
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Zip | 56303-5000
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Country | US
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Telephone | 320-654-3630
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Fax | 320-654-3657
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Provider Business Mailing Address
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Address Line | 1900 CENTRACARE CIR
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City | SAINT CLOUD
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State | MN
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Zip | 56303-5000
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Country | US
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Telephone | 320-654-3630
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Fax | 320-654-3657
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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 | 207SG0201X
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Taxonomy Name | Clinical Genetics (M.D.) Physician
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License Number | 37920
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 37920
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License Number State | MN
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