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General NPI Number Information
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NPI Number | 1760644082
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Entity Type | Individual
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Provider Name | TANYA HANKE DO
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Gender | Female
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Dates
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Enumeration Date | 06/27/2008
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 16 COMMUNITY LN
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City | SOUTHWEST HARBOR
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State | ME
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Zip | 04679-4273
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Country | US
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Telephone | 207-285-6324
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Fax | 207-244-4418
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Provider Business Mailing Address
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Address Line | 10 WAYMAN LN
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City | BAR HARBOR
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State | ME
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Zip | 04609-1625
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Country | US
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Telephone | 207-288-5081
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 51121
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License Number State | CT
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