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General NPI Number Information
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NPI Number | 1851004535
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Entity Type | Organization
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Legal Business Name | TARTESOS PLLC
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Dates
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Enumeration Date | 12/28/2022
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Last Update Date | 12/28/2022
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Provider Practice Location Address
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Address Line | 2626 WALKER RD
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City | CHATTANOOGA
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State | TN
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Zip | 37421-1116
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Country | US
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Telephone | 423-490-1599
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Fax | 423-664-5645
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Provider Business Mailing Address
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Address Line | PO BOX 8684
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City | CHATTANOOGA
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State | TN
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Zip | 37414-0684
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Country | US
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Telephone | 423-495-3671
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | GERALDO HOLGUIN
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Credential | MD
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Telephone | 423-490-1599
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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