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General NPI Number Information
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NPI Number | 1851447379
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Entity Type | Organization
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Legal Business Name | MICHAEL TABA MD PA
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Dates
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Enumeration Date | 01/26/2007
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Last Update Date | 05/21/2012
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Provider Practice Location Address
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Address Line | 7 MEDICAL PKWY
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City | DALLAS
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State | TX
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Zip | 75234-7829
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Country | US
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Telephone | 972-964-2626
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Fax |
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Provider Business Mailing Address
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Address Line | 1705 OHIO DR SUITE 200
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City | PLANO
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State | TX
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Zip | 75093-5255
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Country | US
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Telephone | 972-758-3595
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Fax | 972-599-9604
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Authorized Official
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Title or Position | OWNER
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Name | DR. MICHAEL M TABA
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Credential | MD
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Telephone | 972-964-2626
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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