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Individual
TARA BZDOK
Active
Individual
TARA BZDOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CSR, LD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
1006838
—
133V00000X
Registered Dietitian
Primary
DT81976
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
312032
MEDICARE PTAN
TX
Enumeration date
04/21/2011
Last updated
06/24/2016
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