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General NPI Number Information
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NPI Number | 1730182452
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Entity Type | Individual
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Provider Name | ARNIELITO C. TUAZON DO
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Gender | Male
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Dates
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Enumeration Date | 05/27/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5202 MILLER RD
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City | FLINT
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State | MI
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Zip | 48507-1040
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Country | US
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Telephone | 810-732-7700
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Fax |
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Provider Business Mailing Address
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Address Line | 2432 GENESYS PKWY
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City | GRAND BLANC
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State | MI
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Zip | 48439-8069
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Country | US
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Telephone | 810-606-6499
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Fax | 810-606-7245
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 5101012358
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License Number State | MI
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