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General NPI Number Information
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NPI Number | 1760860134
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Entity Type | Individual
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Provider Name | TARA SARIN M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/18/2015
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Last Update Date | 09/01/2020
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Provider Practice Location Address
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Address Line | 6095 S FASHION BLVD STE 100
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City | MURRAY
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State | UT
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Zip | 84107-7377
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Country | US
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Telephone | 801-263-8700
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Fax | 801-263-8693
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Provider Business Mailing Address
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Address Line | 6095 S FASHION BLVD STE 100
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City | MURRAY
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State | UT
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Zip | 84107-7377
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Country | US
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Telephone | 801-263-8700
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Fax | 801-263-8693
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | DR0006556
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 11018136A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | 11829184-1205
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License Number State | UT
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