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General NPI Number Information
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NPI Number | 1093840217
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Entity Type | Individual
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Provider Name | ROBERT TAHANI DMD
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Gender | Male
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Dates
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Enumeration Date | 02/21/2007
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Last Update Date | 11/26/2025
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Provider Practice Location Address
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Address Line | 1100 NE CORONADO DR
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City | BLUE SPRINGS
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State | MO
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Zip | 64014-2944
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Country | US
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Telephone | 816-622-3866
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Fax |
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Provider Business Mailing Address
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Address Line | 4519 CASTLE RD
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City | LA CANADA
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State | CA
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Zip | 91011-1451
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Country | US
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Telephone | 818-248-7344
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Fax | 818-248-1857
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 54630
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 2500113177
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License Number State | MO
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