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NPI Code Detail

MEDICARE: NARRY TIAO DVM

MEDICARE: NARRY TIAO DVM
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
12472V0600XVeterinary Technician12845FL

General Provider Information

NPI Number : 1699151191
Entity Type Code : Individual
Provider Name (Legal Business Name) : NARRY TIAO DVM
Provider Business Mailing Address
First Line : 7600 LAKE UNDERHILL RD
Second Line :
City : ORLANDO
State : FL
Zip : 32822-8223
Country : US
Telephone Number : 407-920-1579
Fax Number :
Provider Business Practice Location Address
First Line : 7600 LAKE UNDERHILL RD
Second Line :
City : ORLANDO
State : FL
Zip : 32822-8223
Country : US
Telephone Number : 407-920-1579
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2015
Last Update Date : 08/06/2015

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