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General NPI Number Information
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NPI Number | 1417169418
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Entity Type | Organization
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Legal Business Name | TYGIEL PT PC
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 10/15/2012
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Provider Practice Location Address
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Address Line | 6606 E. CARONDELET DRIVE
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City | TUCSON
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State | AZ
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Zip | 85710-2119
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Country | US
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Telephone | 520-296-8513
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Fax | 520-296-0075
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Provider Business Mailing Address
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Address Line | 6606 E CARONDELET DRIVE
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City | TUCSON
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State | AZ
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Zip | 85710-2119
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Country | US
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Telephone | 520-296-8513
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Fax | 520-296-0075
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. CHRIS TYRASANCHEZ
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Credential |
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Telephone | 520-296-8513
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 0415
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License Number State | AZ
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