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General NPI Number Information
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NPI Number | 1306473665
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Entity Type | Individual
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Provider Name | ANNA TARASIDIS HARB
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Gender | Female
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Dates
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Enumeration Date | 03/26/2020
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Last Update Date | 02/14/2025
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Provider Practice Location Address
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Address Line | 1930 ALCOA HWY STE 240
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City | KNOXVILLE
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State | TN
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Zip | 37920-1510
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Country | US
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Telephone | 865-238-1040
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Fax | 865-305-6712
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Provider Business Mailing Address
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Address Line | 1924 ALCOA HWY # U-11
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City | KNOXVILLE
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State | TN
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Zip | 37920-1511
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Country | US
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Telephone | 865-305-9230
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Fax | 865-305-6958
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 72760
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License Number State | TN
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