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General NPI Number Information
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NPI Number | 1326512203
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Entity Type | Individual
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Provider Name | SCOTT TOMLINSON AGACNP-BC
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Gender | Male
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Dates
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Enumeration Date | 01/14/2019
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Last Update Date | 01/14/2019
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Provider Practice Location Address
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Address Line | 1111 E MCDOWELL RD
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City | PHOENIX
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State | AZ
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Zip | 85006-2612
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Country | US
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Telephone | 623-698-3123
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Fax |
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Provider Business Mailing Address
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Address Line | 2325 E ORANGEWOOD AVE
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City | PHOENIX
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State | AZ
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Zip | 85020-4730
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Country | US
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Telephone | 623-698-3123
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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 | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number | 221018
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License Number State | AZ
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