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General NPI Number Information
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NPI Number | 1124255005
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Entity Type | Individual
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Provider Name | TAGHRID A ALTOOS MD
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Gender | Female
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Dates
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Enumeration Date | 06/17/2009
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Last Update Date | 09/19/2014
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Provider Practice Location Address
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Address Line | 3155 N. MCMULLEN BOOTH ROAD
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City | CLEARWATER
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State | FL
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Zip | 33761-2008
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Country | US
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Telephone | 727-669-9018
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Fax | 727-797-6047
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Provider Business Mailing Address
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Address Line | 3155 N. MCMULLEN BOOTH ROAD
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City | CLEARWATER
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State | FL
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Zip | 33761-2008
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Country | US
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Telephone | 727-669-9018
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Fax | 727-797-6047
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | TL3356
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | ME119912
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License Number State | FL
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