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1912522574
OMAR AHMED TARANISSI
COLUMBIA, MO
NPI
1912522574
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: MO 2020015496)
Enumeration Date
2020-06-10
Last Update Date
2020-06-10
Business Address
OMAR AHMED TARANISSI MD
1 HOSPITAL DR
COLUMBIA, MO 65212-1000
Phone number: 573-882-8907
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Mailing Address
OMAR AHMED TARANISSI MD
1 HOSPITAL DR # 67.00
COLUMBIA, MO 65212-1000
Phone number: 573-882-8907
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