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Individual

DINA TAAREA

Active
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Individual

DINA TAAREA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
550614866
WV
207R00000X
Internal Medicine Physician
Primary
99801
GA
207RA0401X
Addiction Medicine (Internal Medicine) Physician
99801
GA
208M00000X
Hospitalist Physician
320101
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
055399
CDS
LA
01
320101
STATE LICENSE
LA
Enumeration date
04/14/2015
Last updated
08/12/2026
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