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General NPI Number Information
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NPI Number | 1609257187
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Entity Type | Individual
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Provider Name | TARANA NEKZAD D.O.
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Gender | Female
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Dates
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Enumeration Date | 06/10/2015
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 10 ST PATRICK'S DRIVE
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City | WALDORF
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State | MD
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Zip | 20603-4572
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Country | US
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Telephone | 301-373-7900
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Fax | 301-705-7628
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Provider Business Mailing Address
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Address Line | PO BOX 640
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City | HOLLYWOOD
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State | MD
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Zip | 20636-0640
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Country | US
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Telephone | 301-373-7900
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Fax | 301-373-6900
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | H0092432
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | H0092432
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License Number State | MD
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