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Individual
TARA S FROST
Active
Individual
TARA S FROST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
47912
MN
207L00000X
Anesthesiology Physician
Primary
N2511
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
248607000
—
MN
Enumeration date
08/12/2006
Last updated
02/26/2014
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