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General NPI Number Information
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NPI Number | 1588609721
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Entity Type | Organization
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Legal Business Name | THOMAS TAYERI M.D. INC.
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Dates
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Enumeration Date | 06/20/2006
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Last Update Date | 04/30/2009
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Provider Practice Location Address
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Address Line | 1805 EL CAMINO REAL SUITE 100
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City | PALO ALTO
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State | CA
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Zip | 94306-1162
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Country | US
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Telephone | 650-324-9200
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Fax | 650-326-5793
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Provider Business Mailing Address
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Address Line | 1805 EL CAMINO REAL SUITE 100
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City | PALO ALTO
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State | CA
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Zip | 94306-1162
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Country | US
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Telephone | 650-324-9200
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Fax | 650-326-5793
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Authorized Official
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Title or Position | OWNER
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Name | DR. THOMAS TAYERI
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Credential | M.D.
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Telephone | 650-321-0958
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | G072133
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License Number State | CA
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