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General NPI Number Information
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NPI Number | 1164348819
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Entity Type | Individual
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Provider Name | MICHAEL TANZER RN9496116
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Gender | Male
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Dates
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Enumeration Date | 06/26/2026
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Last Update Date | 06/26/2026
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Provider Practice Location Address
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Address Line | 1560 ORANGE AVE STE 300
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City | WINTER PARK
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State | FL
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Zip | 32789-5558
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Country | US
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Telephone | 407-432-5651
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Fax |
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Provider Business Mailing Address
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Address Line | 20539 MAXIM PKWY
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City | ORLANDO
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State | FL
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Zip | 32833-3934
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Country | US
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Telephone | 407-432-5651
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN9496116
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License Number State | FL
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