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General NPI Number Information
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NPI Number | 1356481006
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Entity Type | Individual
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Provider Name | DAVID B TANIS DC
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Gender | Male
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Dates
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Enumeration Date | 02/08/2007
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Last Update Date | 05/13/2019
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Provider Practice Location Address
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Address Line | 16 SKYLINE LKS DR SUITE 6
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City | RINGWOOD
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State | NJ
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Zip | 07456
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Country | US
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Telephone | 973-839-1119
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Fax | 973-616-9588
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Provider Business Mailing Address
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Address Line | 1554 UNION VALLEY RD
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City | WEST MILFORD
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State | NJ
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Zip | 07480-1357
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Country | US
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Telephone | 973-839-1119
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Fax | 973-728-1033
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 3348
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License Number State | NJ
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