Praxidio H Tagala in Clearfield - Specialist
Praxidio H Tagala - NPI 1386826519
Praxidio H Tagala is a Specialist in Clearfield, Pennsylvania. Praxidio H Tagala practices all healthcare services and medical treatments related to Specialist. The NPI Number for Praxidio H Tagala is 1386826519. The last update date is 2007-11-29.
Praxidio H Tagala's current location address is 615 Thompson St, Clearfield, Pennsylvania. You can contact this provider via phone number 8147654369 and fax number 8147687890. The mailing address for Praxidio H Tagala is 615 Thompson St, Clearfield, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
Provider Name | Praxidio H Tagala |
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Address | 615 Thompson St, Clearfield, Pennsylvania |
Phone Number | 8147654369 |
Fax Number | 8147687890 |
Sole Proprietor | Y |
Credentials | MD |
NPI Number Detail
NPI Number | 1386826519 |
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Provider Enumeration Date | 2007-11-29 |
Last Updated Date | 2007-11-29 |
Provider Mailing Address Detail
Address | 615 Thompson St |
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City | Clearfield |
State | Pennsylvania (PA) |
Post Code | 168301227 |
Phone Number | 8147654369 |
Fax Number | 8147687890 |
Provider's Primary Taxonomy Detail
Speciality | Specialist |
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Taxonomy | 174400000X |
Licence No | MD038410-L |
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
861458 | PA | -- |
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What is the Praxidio H Tagala's unique identification number?
The Praxidio H Tagala has been assigned the NPI (National Provider Identifier) Number 1386826519 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Praxidio H Tagala?
The Praxidio H Tagala is situated at 615 Thompson St, in the city of Clearfield, state of PA, with the zip code 168301227.
What is Praxidio H Tagala's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Praxidio H Tagala is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.
On what date did the Praxidio H Tagala receive the assignment of its 1386826519 from the Centers for Medicare & Medicaid Services?
The Praxidio H Tagala was issued its 1386826519 by the Centers for Medicare & Medicaid Services on 2007-11-29.
As of what date was the information regarding Praxidio H Tagala, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Praxidio H Tagala, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-11-29.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY