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Dr. Dara Tash
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NPI Number Detailed Information
Provider Information:
| Name: | Dr. Dara Tash |
| Gender: | M |
| Provider License Number If Given: | D0052418 |
NPI Information:
| NPI: | 1033118419 |
| Entity Type (Individual or Organization): |
1-ind |
| Enumeration Date: | 7/19/2005 |
| Last Update Date: | 7/12/2010 |
Provider Business Mailing Address:
| Address: | 251 E BALTIMORE ST Hagerstown, MD 21740 |
| Phone Number: | 3014168600 |
| Fax Number: | 3014168602 |
Provider Business Practice Location Address:
| Address: | 251 E BALTIMORE ST Hagerstown, MD 21740 |
| Phone Number: | 3014168600 |
| Fax Number: | 3014168602 |
Provider Taxonomy:
| Primary: | 174400000X |
| Secondary (if any): | |
| State: | MD |
