Provider Demographics
NPI:1104981976
Name:TARAS TECHNIQUES, LLC
Entity type:Organization
Organization Name:TARAS TECHNIQUES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING PRINCIPAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TARAS
Authorized Official - Middle Name:NK
Authorized Official - Last Name:RAGGIO
Authorized Official - Suffix:
Authorized Official - Credentials:HHP
Authorized Official - Phone:703-636-4123
Mailing Address - Street 1:PO BOX 684
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20156-0684
Mailing Address - Country:US
Mailing Address - Phone:703-636-4123
Mailing Address - Fax:703-636-4123
Practice Address - Street 1:10432 BALLS FORD RD
Practice Address - Street 2:SUITE 300
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20109-2602
Practice Address - Country:US
Practice Address - Phone:703-636-4123
Practice Address - Fax:703-636-4123
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-22
Last Update Date:2008-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, EducationGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA7823829OtherAETNA
VA7111860OtherAETNA
VA7929865OtherAETNA