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Individual

DR. TARA KIMBASON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
0101260812
VA
2084N0400X
Neurology Physician
01087262A
IN
2084N0400X
Neurology Physician
ME137457
FL

Other

Enumeration date
03/29/2012
Last updated
07/16/2025
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