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General NPI Number Information
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NPI Number | 1407992217
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Entity Type | Organization
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Legal Business Name | DANIEL TAHERI MD PC
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 5731 S FORT APACHE RD STE 130
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City | LAS VEGAS
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State | NV
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Zip | 89148-5666
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Country | US
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Telephone | 702-272-1600
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Fax | 702-272-1640
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Provider Business Mailing Address
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Address Line | PO BOX 16297
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City | BEVERLY HILLS
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State | CA
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Zip | 90209-2297
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Country | US
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Telephone | 424-276-4700
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. DANIEL P TAHERI
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Credential | MD
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Telephone | 661-388-5240
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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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 | 207ZD0900X
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Taxonomy Name | Dermatopathology (Pathology) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207ND0101X
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Taxonomy Name | MOHS-Micrographic Surgery Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207ND0900X
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Taxonomy Name | Dermatopathology Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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