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General NPI Number Information
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NPI Number | 1407260425
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Entity Type | Individual
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Provider Name | TANNER WAYNE COLEMAN D.C.
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Gender | Male
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Dates
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Enumeration Date | 06/18/2014
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Last Update Date | 02/26/2024
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Provider Practice Location Address
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Address Line | 1000 S WEST END ST
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City | SPRINGDALE
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State | AR
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Zip | 72764-5239
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Country | US
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Telephone | 479-751-8686
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Fax | 479-751-6022
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Provider Business Mailing Address
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Address Line | 1000 S WEST END ST
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City | SPRINGDALE
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State | AR
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Zip | 72764-5239
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Country | US
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Telephone | 479-751-8686
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 16374
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 111NI0013X
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Taxonomy Name | Independent Medical Examiner Chiropractor
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License Number | 16374
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License Number State | AR
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2015005071
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License Number State | MO
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