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General NPI Number Information
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NPI Number | 1902897440
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Entity Type | Individual
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Provider Name | SCOTT P TANNEHILL MD
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Gender | Male
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Dates
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Enumeration Date | 11/03/2005
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Last Update Date | 09/11/2013
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Provider Practice Location Address
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Address Line | 9055 E DEL CAMINO DR SUITE 200
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-2351
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Country | US
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Telephone | 480-922-4600
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Fax | 480-922-5231
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Provider Business Mailing Address
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Address Line | 3645 S ROME ST SUITE 116
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City | GILBERT
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State | AZ
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Zip | 85297-7336
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Country | US
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Telephone | 480-278-8300
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Fax | 480-922-5231
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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 | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 37492
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License Number State | AZ
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