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General NPI Number Information
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NPI Number | 1528136827
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Entity Type | Individual
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Provider Name | ARNO WILLIAM TILLES MD
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Gender | Male
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Dates
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Enumeration Date | 12/04/2006
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Last Update Date | 09/15/2014
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Provider Practice Location Address
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Address Line | 10 ROGERS ST #1201
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City | CAMBRIDGE
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State | MA
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Zip | 02142-1246
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Country | US
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Telephone | 305-215-2888
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Fax |
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Provider Business Mailing Address
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Address Line | 10 ROGERS ST #1201
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City | CAMBRIDGE
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State | MA
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Zip | 02142-1246
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Country | US
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Telephone | 305-215-2888
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 208961
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME67418
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License Number State | FL
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