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General NPI Number Information
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NPI Number | 1174529325
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Entity Type | Individual
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Provider Name | MIKKO PETER TAURIAINEN M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/22/2005
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Last Update Date | 01/04/2022
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Provider Practice Location Address
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Address Line | 4716 ALLIANCE BLVD SUITE 470
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City | PLANO
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State | TX
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Zip | 75093-5371
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Country | US
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Telephone | 972-941-3102
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Fax | 972-941-3101
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Provider Business Mailing Address
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Address Line | 515 W MAYFIELD RD STE 311
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City | ARLINGTON
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State | TX
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Zip | 76014-2085
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Country | US
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Telephone | 817-468-3471
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Fax | 817-419-2512
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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 | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | K3491
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | K3491
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License Number State | TX
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