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General NPI Number Information
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NPI Number | 1780619759
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Entity Type | Individual
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Provider Name | DEEBEANNE MARIE TAVANI DO PHD
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Gender | Female
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 100 E LANCASTER AVE LANKENAU MEDICAL BLDG EAST SUITE 463
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City | WYNNEWOOD
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State | PA
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Zip | 19096-3450
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Country | US
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Telephone | 610-896-5170
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Fax | 610-896-5640
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Provider Business Mailing Address
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Address Line | 100 E LANCASTER AVE LANKENAU MEDICAL BLDG EAST SUITE 463
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City | WYNNEWOOD
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State | PA
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Zip | 19096-3450
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Country | US
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Telephone | 610-896-5170
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Fax | 610-896-5640
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | OS006178L
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License Number State | PA
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