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Individual
MATTHEW BLAKE TASH
Active
Individual
MATTHEW BLAKE TASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A121611
CA
207LP3000X
Pediatric Anesthesiology Physician
A121611
CA
Other
Enumeration date
02/02/2009
Last updated
12/15/2021
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