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Individual

DR. TANYA ITANI TAIVAL

Active
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Individual

DR. TANYA ITANI TAIVAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DO LLC

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
OS 9527
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0256154
CIGNA
FL
01
—
14016
BLUE CROSS/BLUE SHIELD
FL
05
—
272865600
—
FL
01
—
7840697
AETNA
FL
01
—
P00240993
MEDICARE RAILROAD
FL
Enumeration date
08/15/2006
Last updated
10/31/2012
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