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Individual
SCOTT LEE TANNER
Active
Individual
SCOTT LEE TANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP1707892
FL
367500000X
Certified Registered Nurse Anesthetist
R82029
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G2007
BCBS
FL
Enumeration date
02/14/2006
Last updated
07/08/2007
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