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General NPI Number Information
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NPI Number | 1649460981
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Entity Type | Organization
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Legal Business Name | LOUIS TARTAGLIA MD PC
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Dates
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Enumeration Date | 08/01/2007
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Last Update Date | 05/05/2011
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Provider Practice Location Address
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Address Line | 1708 BOISE AVE
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City | LOVELAND
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State | CO
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Zip | 80538-4219
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Country | US
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Telephone | 970-669-6880
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Fax | 970-669-0612
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Provider Business Mailing Address
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Address Line | 1708 BOISE AVE
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City | LOVELAND
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State | CO
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Zip | 80538-4219
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Country | US
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Telephone | 970-669-6880
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Fax | 970-669-0612
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Authorized Official
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Title or Position | ORTHOPEDIC SURGEON
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Name | DR. LOUIS TARTAGLIA JR
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Credential | MD
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Telephone | 970-669-6880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | CO19538
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License Number State | CO
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