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General NPI Number Information
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NPI Number | 1467485474
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Entity Type | Individual
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Provider Name | AYMEL JOHN TARRAR M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 02/13/2025
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Provider Practice Location Address
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Address Line | 8001 MADISON AVE
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City | CITRUS HEIGHTS
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State | CA
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Zip | 95610-7901
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Country | US
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Telephone | 916-536-2420
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Fax | 916-536-2401
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Provider Business Mailing Address
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Address Line | DEPT 34929 P.O. BOX 39000
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City | SAN FRANCISCO
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State | CA
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Zip | 94139-0001
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Country | US
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Telephone | 916-536-2420
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Fax | 916-536-2401
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | A90212
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A90212
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License Number State | CA
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