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General NPI Number Information
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NPI Number | 1649564949
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Entity Type | Individual
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Provider Name | SUSAN M. TANYI MD
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Gender | Female
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Dates
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Enumeration Date | 06/03/2011
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | 23541 WESTHEIMER PKWY STE 160
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City | KATY
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State | TX
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Zip | 77494-3598
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Country | US
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Telephone | 713-930-3227
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Fax | 855-919-6030
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Provider Business Mailing Address
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Address Line | 23541 WESTHEIMER PKWY STE 160
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City | KATY
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State | TX
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Zip | 77494-3598
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Country | US
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Telephone | 713-930-3227
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Fax | 855-919-6030
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2015-01346
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 28476
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License Number State | OK
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | T0641
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License Number State | TX
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