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General NPI Number Information
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NPI Number | 1326902776
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Entity Type | Individual
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Provider Name | TANNA CHAN
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Gender | Female
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Dates
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Enumeration Date | 12/10/2025
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 4057 RILEY FUZZEL RD #700 SPA 2
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City | SPRING
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State | TX
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Zip | 77386
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Country | US
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Telephone | 832-928-1950
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Fax |
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Provider Business Mailing Address
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Address Line | 5814 SUNNY SKY PL
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City | SPRING
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State | TX
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Zip | 77386-3974
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Country | US
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Telephone | 832-928-1950
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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 | 973113
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License Number State | TX
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