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NPI 1700888039

NPI 1700888039 : MITZI J. BARMATZ M.D. : TUCSON, AZ

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General NPI Number Information
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    NPI Number           |    1700888039
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    Entity Type          |    Individual 
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    Provider Name        |    MITZI J. BARMATZ M.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/31/2005
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    Last Update Date     |    03/21/2025
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Provider Practice Location Address
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    Address Line         |    2260 W ORANGE GROVE RD 
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    City                 |    TUCSON
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    State                |    AZ
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    Zip                  |    85741-3117
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    Country              |    US
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    Telephone            |    520-795-5830
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    Fax                  |    520-885-4469
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Provider Business Mailing Address
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    Address Line         |    10200 GRAND CENTRAL AVE STE 220 
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    City                 |    OWINGS MILLS
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    State                |    MD
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    Zip                  |    21117-4366
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    Country              |    US
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    Telephone            |    
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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        |    174400000X
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    Taxonomy Name        |    Specialist
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    License Number       |    24224
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    License Number State |    AZ
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Taxonomy #2
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    Taxonomy Code        |    208800000X
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    Taxonomy Name        |    Urology Physician
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    License Number       |    24224
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    License Number State |    AZ
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