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NPI Code Detail

MEDICARE: TANA K. SALINE PA

MEDICARE: TANA K. SALINE PA
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
1363A00000XPhysician Assistant50.003366RX
2363A00000XPhysician AssistantOA002310PA

General Provider Information

NPI Number : 1467603167
Entity Type Code : Individual
Provider Name (Legal Business Name) : TANA K. SALINE PA
Provider Business Mailing Address
First Line : 4580 STEPHENS CIR NW STE 202
Second Line :
City : CANTON
State : OH
Zip : 44718-3645
Country : US
Telephone Number : 330-754-4431
Fax Number : 303-244-8839
Provider Business Practice Location Address
First Line : 4580 STEPHENS CIR NW STE 202
Second Line :
City : CANTON
State : OH
Zip : 44718-3645
Country : US
Telephone Number : 303-754-4431
Fax Number : 330-499-3056
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/01/2008
Last Update Date : 02/28/2023

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Directions to “ TANA K. SALINE PA” Practice Location

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