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Individual
TARA BLOCK
Active
Individual
TARA BLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MRM-1709
ID
208M00000X
Hospitalist Physician
Primary
91878
MT
Other
Enumeration date
04/20/2018
Last updated
04/05/2024
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