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General NPI Number Information
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NPI Number | 1306873898
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Entity Type | Individual
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Provider Name | TANIA ERIKA ENGLE PA-C
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Gender | Female
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Dates
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Enumeration Date | 06/28/2006
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Last Update Date | 10/31/2018
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Provider Practice Location Address
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Address Line | 50 BUCK CREEK ROAD SUITE 200
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City | AVON
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State | CO
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Zip | 81620-4330
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Country | US
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Telephone | 970-926-6340
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Fax | 970-926-6348
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Provider Business Mailing Address
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Address Line | 3 GLEN ELLEN CT
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City | TOWSON
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State | MD
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Zip | 21286-1512
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Country | US
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Telephone | 303-981-7083
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 1618
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 1618
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License Number State | CO
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