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General NPI Number Information
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NPI Number | 1073667168
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Entity Type | Organization
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Legal Business Name | REEMA TANEJA, M.D., INC.
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 05/01/2024
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Provider Practice Location Address
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Address Line | 1280 BOARDMAN CANFIELD RD STE 3
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City | BOARDMAN
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State | OH
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Zip | 44512-4073
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Country | US
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Telephone | 330-726-1900
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Fax | 330-726-0843
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Provider Business Mailing Address
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Address Line | 1240 BOARDMAN CANFIELD RD SUITE # 1
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City | BOARDMAN
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State | OH
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Zip | 44512-4044
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Country | US
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Telephone | 330-726-1900
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Fax | 330-726-0843
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Authorized Official
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Title or Position | OWNER
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Name | DR. REEMA TANEJA
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Credential | MD
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Telephone | 330-726-1900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 35073047
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License Number State | OH
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