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General NPI Number Information
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NPI Number | 1164867354
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Entity Type | Individual
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Provider Name | TANAZ MINOO VAGHAIWALLA MD, MS
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Gender | Female
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Dates
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Enumeration Date | 05/01/2013
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Last Update Date | 04/04/2025
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Provider Practice Location Address
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Address Line | 1120 NW 14TH STREET CRB 4TH FLOOR (M-875)
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City | MIAMI
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State | FL
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Zip | 33136
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Country | US
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Telephone | 305-243-4444
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Fax | 305-243-4221
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Provider Business Mailing Address
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Address Line | 1120 NW 14TH STREET CRB 4TH FLOOR (M-875)
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City | MIAMI
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State | FL
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Zip | 33136
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Country | US
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Telephone | 305-243-4444
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Fax | 305-243-4221
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 167983
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License Number State | FL
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