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Individual
MRS. TAHIRA DOCKERY
Active
Individual
MRS. TAHIRA DOCKERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
CW016925
PA
363LF0000X
Family Nurse Practitioner
Primary
SP011319
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326484684
—
PA
Enumeration date
06/04/2011
Last updated
03/17/2018
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