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General NPI Number Information
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NPI Number | 1669743464
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Entity Type | Organization
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Legal Business Name | JOHN D. F. TARR M.D., PH.D., INC
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Dates
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Enumeration Date | 01/25/2012
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Last Update Date | 03/29/2017
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Provider Practice Location Address
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Address Line | 280 SOUTH ARROYO BOULEVARD
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City | PASADENA
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State | CA
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Zip | 91105-1507
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Country | US
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Telephone | 626-793-8330
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Fax | 626-793-8330
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Provider Business Mailing Address
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Address Line | 280 SOUTH ARROYO BOULEVARD
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City | PASADENA
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State | CA
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Zip | 91105-1507
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Country | US
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Telephone | 626-793-8330
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Fax | 626-793-8330
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN D.F. TARR
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Credential | M.D., PHD
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Telephone | 626-793-8330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A17.000
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License Number State | CA
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