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General NPI Number Information
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NPI Number | 1518985985
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Entity Type | Individual
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Provider Name | HAROLD L. TARLETON M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 02/26/2025
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Provider Practice Location Address
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Address Line | 72301 COUNTRY CLUB DR STE 106
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City | RANCHO MIRAGE
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State | CA
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Zip | 92270-8007
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Country | US
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Telephone | 760-836-0708
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Fax | 760-773-4293
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Provider Business Mailing Address
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Address Line | PO BOX 14038
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City | PALM DESERT
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State | CA
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Zip | 92255-4038
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Country | US
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Telephone | 760-836-0708
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Fax | 760-773-4293
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | C32824
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License Number State | CA
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