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General NPI Number Information
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NPI Number | 1013089028
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Entity Type | Individual
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Provider Name | TAHA DIAS MD
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Gender | Male
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Dates
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Enumeration Date | 11/14/2006
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Last Update Date | 12/11/2024
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Provider Practice Location Address
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Address Line | 1270 N WICKHAM RD STE 9
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City | MELBOURNE
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State | FL
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Zip | 32935-8300
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Country | US
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Telephone | 321-567-2211
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Fax |
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Provider Business Mailing Address
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Address Line | 4112 ISLAND LAKES DR
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City | WINTER HAVEN
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State | FL
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Zip | 33881-5605
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Country | US
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Telephone | 863-594-8354
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME96911
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License Number State | FL
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