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NPI Code Detail

MEDICARE: MRS. TAMMY LYNN ALDRICH

MEDICARE: MRS. TAMMY LYNN ALDRICH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1227800000XCertified Respiratory Therapist009107AZ
22278G1100XGeneral Care Certified Respiratory Therapist009107AZ

General Provider Information

NPI Number : 1902136807
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. TAMMY LYNN ALDRICH
Provider Business Mailing Address
First Line : 3601 S 6TH AVE
Second Line :
City : TUCSON
State : AZ
Zip : 85723-0001
Country : US
Telephone Number : 520-792-1450
Fax Number : 520-629-1779
Provider Business Practice Location Address
First Line : 3601 S 6TH AVE
Second Line :
City : TUCSON
State : AZ
Zip : 85723-0001
Country : US
Telephone Number : 520-792-1450
Fax Number : 520-629-1779
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2009
Last Update Date : 12/28/2009

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