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Individual
TARA MONDAY
Active
Individual
TARA MONDAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
03485
KY
208000000X
Pediatrics Physician
34.010565
OH
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
03485
KY
Other
Enumeration date
11/25/2009
Last updated
11/22/2013
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