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General NPI Number Information
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NPI Number | 1013059765
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Entity Type | Individual
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Provider Name | TANYA LYNN CHANEY BA, CMTPT, MT
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Gender | Female
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Dates
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Enumeration Date | 02/12/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 429 MCKEAN AVE
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City | CHARLEROI
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State | PA
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Zip | 15022-1529
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Country | US
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Telephone | 724-328-2834
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Fax |
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Provider Business Mailing Address
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Address Line | 429 MCKEAN AVE
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City | CHARLEROI
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State | PA
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Zip | 15022-1529
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Country | US
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Telephone | 724-328-2834
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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