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General NPI Number Information
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NPI Number | 1992905756
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Entity Type | Individual
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Provider Name | MICHAEL JAMES TUTTLE D.O.
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Gender | Male
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Dates
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Enumeration Date | 07/20/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1102 HAMILTON CIR
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City | HARRISBURG
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State | PA
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Zip | 17111-3533
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Country | US
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Telephone | 585-944-4472
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 160
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City | SCOTTSDALE
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State | AZ
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Zip | 85252-0160
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Country | US
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Telephone | 585-944-4472
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State | PA
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