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General NPI Number Information
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NPI Number | 1710070198
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Entity Type | Organization
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Legal Business Name | TARA L HAID DDS INC
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Dates
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Enumeration Date | 09/30/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7100 N HIGH ST STE 100
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City | WORTHINGTON
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State | OH
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Zip | 43085
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Country | US
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Telephone | 614-885-2610
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Fax | 614-885-2789
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Provider Business Mailing Address
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Address Line | 7100 N HIGH ST STE 100
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City | WORTHINGTON
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State | OH
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Zip | 43085
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Country | US
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Telephone | 614-885-2610
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Fax | 614-885-2789
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | ERIN KATHRYN MCGLAUGHLIN
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Credential |
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Telephone | 614-885-2610
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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 | 21394
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License Number State | OH
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