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General NPI Number Information
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NPI Number | 1902126956
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Entity Type | Individual
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Provider Name | TANYA ELIZABETH ANIM M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/01/2010
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Last Update Date | 04/01/2025
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Provider Practice Location Address
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Address Line | 7975 LAKE UNDERHILL RD STE 200
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City | ORLANDO
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State | FL
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Zip | 32822-8204
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Country | US
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Telephone | 407-646-7070
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Fax | 407-646-7070
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Provider Business Mailing Address
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Address Line | 7975 LAKE UNDERHILL RD STE 200
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City | ORLANDO
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State | FL
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Zip | 32822-8204
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Country | US
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Telephone | 407-646-7070
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Fax | 407-646-7070
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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 | 2024-00374
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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 | ME110894
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License Number State | FL
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