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Individual
TANIS M TRENKA
Active
Individual
TANIS M TRENKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1111
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0534922
—
MT
05
—
0535119
—
MT
01
—
1548218852
ALLEGIANCE BENEFIT PLAN MANAGEMENT, INC.
MT
01
—
662480
BCBS PRIVATE
MT
Enumeration date
05/05/2006
Last updated
07/19/2013
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