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NPI Code Detail

MEDICARE: ALI NICHOLAS TANARI

MEDICARE:   ALI NICHOLAS TANARI
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1740783448
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALI NICHOLAS TANARI
Provider Business Mailing Address
First Line : 25110 MARSHALL BLF
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78261-2770
Country : US
Telephone Number : 210-633-4737
Fax Number :
Provider Business Practice Location Address
First Line : 25110 MARSHALL BLF
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78261-2770
Country : US
Telephone Number : 210-633-4737
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2018
Last Update Date : 03/09/2018

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Directions to “ ALI NICHOLAS TANARI ” Practice Location

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