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Individual
VANESSA L TABOR
Active
Individual
VANESSA L TABOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAA
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
AA398
FL
367H00000X
Anesthesiologist Assistant
Primary
AA398
FL
367H00000X
Anesthesiologist Assistant
TL29
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AA398
ANESTHESIA
FL
Enumeration date
02/04/2013
Last updated
06/11/2019
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