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Individual

DR. TARA L. F. BLASINGAME

Active
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Individual

DR. TARA L. F. BLASINGAME

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.P.M.

Taxonomy

Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
714
GA
213ES0131X
Foot Surgery Podiatrist
Primary
AL164
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
051514658
BLUE CROSS BLUE SHIELD
AL
01
051514659
BLUE CROSS BLUE SHIELD
AL
01
510452548
TRICARE
AL
05
890010830
AL
05
890010840
AL
Enumeration date
11/16/2005
Last updated
03/28/2012
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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