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General NPI Number Information
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NPI Number | 1902210131
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Entity Type | Individual
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Provider Name | TANIA JAFARY M.D
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Gender | Female
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Dates
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Enumeration Date | 06/16/2014
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Last Update Date | 11/12/2025
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Provider Practice Location Address
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Address Line | 1955 W FRYE RD
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City | CHANDLER
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State | AZ
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Zip | 85224-6282
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Country | US
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Telephone | 480-728-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 4400 W 69TH ST SUITE 1500
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City | SIOUX FALLS
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State | SD
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Zip | 57108-8170
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Country | US
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Telephone | 605-322-5700
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Fax |
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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 | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 54549
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | U0904
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 2023018865
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License Number State | MO
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | U0904
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License Number State | TX
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