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Individual

DR. DANIEL DAVID TABAKA

Active
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Individual

DR. DANIEL DAVID TABAKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
200500121
NC
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
34.004369
OH

Other

Enumeration date
05/02/2006
Last updated
09/28/2013
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