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1356754154
TAREQ HAIDARY
COLUMBIA, SC
NPI
1356754154
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: SC 37054)
Enumeration Date
2014-06-09
Last Update Date
2018-07-12
Business Address
TAREQ HAIDARY M.D.
1330 TAYLOR ST
COLUMBIA, SC 29201
Phone number: 803-296-5010
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Mailing Address
TAREQ HAIDARY M.D.
PO BOX 743904
ATLANTA, GA 30374-3904
Phone number: 803-296-2930
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