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General NPI Number Information
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NPI Number | 1376746974
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Entity Type | Individual
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Provider Name | SASCHA DARIUS TAGHIZADEH MD
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Gender | Male
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Dates
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Enumeration Date | 06/09/2007
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Last Update Date | 03/08/2010
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Provider Practice Location Address
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Address Line | 6420 PROSPECT AVE T-207
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City | KANSAS CITY
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State | MO
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Zip | 64132-4147
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Country | US
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Telephone | 816-276-9100
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Fax | 816-276-9101
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Provider Business Mailing Address
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Address Line | 6420 PROSPECT AVE T-207
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City | KANSAS CITY
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State | MO
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Zip | 64132-4147
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Country | US
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Telephone | 816-276-9100
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Fax | 816-276-9101
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 1065048A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207XX0801X
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Taxonomy Name | Orthopaedic Trauma Physician
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License Number | 2009007674
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License Number State | MO
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