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General NPI Number Information
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NPI Number | 1689016636
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Entity Type | Individual
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Provider Name | BRIAN K TANNER CRNA
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Gender | Male
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Dates
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Enumeration Date | 07/18/2013
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 201 E SAMPLE RD
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City | DEERFIELD BEACH
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State | FL
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Zip | 33064-3502
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Country | US
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Telephone | 954-941-8300
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Fax |
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Provider Business Mailing Address
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Address Line | 690 CANTON ST STE 325
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City | WESTWOOD
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State | MA
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Zip | 02090-2324
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Country | US
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Telephone | 781-407-7713
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Fax | 781-407-0998
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 1-115992
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | APRN329135
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | APRN11041329
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | L6-OA10844
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License Number State | DE
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Taxonomy #5
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 791145
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License Number State | NY
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Taxonomy #6
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | APRN10004453
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License Number State | MA
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Taxonomy #7
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | C-APN.0104878-C-CRNA
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License Number State | CO
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