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NPI 1952532475

NPI 1952532475 : PO-HENG TSAI M.D. : PHOENIX, AZ

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General NPI Number Information
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    NPI Number           |    1952532475
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    Entity Type          |    Individual 
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    Provider Name        |    PO-HENG TSAI M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/31/2009
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    Last Update Date     |    10/01/2018
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Provider Practice Location Address
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    Address Line         |    901 E WILLETTA ST 
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    City                 |    PHOENIX
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    State                |    AZ
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    Zip                  |    85006
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    Country              |    US
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    Telephone            |    602-839-6900
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    901 E WILLETTA ST 
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    City                 |    PHOENIX
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    State                |    AZ
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    Zip                  |    85006-2727
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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        |    2084B0040X
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    Taxonomy Name        |    Behavioral Neurology & Neuropsychiatry Physician
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    License Number       |    ME110560
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    License Number State |    FL
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Taxonomy #2
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    Taxonomy Code        |    2084B0040X
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    Taxonomy Name        |    Behavioral Neurology & Neuropsychiatry Physician
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    License Number       |    A93563
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    License Number State |    CA
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Taxonomy #3
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    Taxonomy Code        |    2084B0040X
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    Taxonomy Name        |    Behavioral Neurology & Neuropsychiatry Physician
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    License Number       |    56576
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    License Number State |    AZ
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