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NPI Code Detail

MEDICARE: TARA LYNN PEREZ-HANEY

MEDICARE: TARA LYNN PEREZ-HANEY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1447010426
Entity Type Code : Individual
Provider Name (Legal Business Name) : TARA LYNN PEREZ-HANEY
Provider Business Mailing Address
First Line : 1366 GARFIELD ST APT 407
Second Line :
City : DENVER
State : CO
Zip : 80206-2741
Country : US
Telephone Number : 303-949-0512
Fax Number :
Provider Business Practice Location Address
First Line : 2921 W 120TH AVE UNIT 100
Second Line :
City : WESTMINSTER
State : CO
Zip : 80234-2944
Country : US
Telephone Number : 888-528-3860
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2024
Last Update Date : 03/19/2024

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Directions to “ TARA LYNN PEREZ-HANEY ” Practice Location

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