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General NPI Number Information
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NPI Number | 1588839583
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Entity Type | Individual
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Provider Name | TANYA MARIA DOBRZANSKI D.C.
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Gender | Female
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Dates
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Enumeration Date | 04/30/2008
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Last Update Date | 04/30/2008
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Provider Practice Location Address
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Address Line | 7575 SOQUEL DR
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City | APTOS
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State | CA
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Zip | 95003-3815
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Country | US
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Telephone | 831-688-5156
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Fax |
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Provider Business Mailing Address
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Address Line | 195 NORTHRIDGE DR
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City | SCOTTS VALLEY
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State | CA
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Zip | 95066-2609
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Country | US
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Telephone | 408-781-2579
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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 | 30905
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License Number State | CA
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