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General NPI Number Information
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NPI Number | 1528087871
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Entity Type | Individual
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Provider Name | TASHA P WARD DDS
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Gender | Female
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Dates
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Enumeration Date | 07/18/2006
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Last Update Date | 10/01/2019
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Provider Practice Location Address
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Address Line | 1619 TALLEVAST ROAD
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City | TALLEVAST
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State | FL
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Zip | 34270
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Country | US
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Telephone | 941-355-4800
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Fax | 941-355-4060
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Provider Business Mailing Address
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Address Line | PO BOX 389
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City | TALLEVAST
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State | FL
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Zip | 34270-0389
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Country | US
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Telephone | 941-355-4800
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Fax | 941-355-4060
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DN17405
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License Number State | FL
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