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Individual
MICHAEL TANNER PAPE
Active
Individual
MICHAEL TANNER PAPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1342585
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1342585
COMMERCIAL INSURANCE
TX
05
—
1342585
—
TX
Enumeration date
02/09/2021
Last updated
02/24/2022
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