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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

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