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Individual
DR. DARREN ANTHONY FANO
Active
Individual
DR. DARREN ANTHONY FANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH8413
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
562356078
TAX ID
FL
01
—
79651
BC BS PIN
FL
01
—
CH8413
LICENSE
FL
Enumeration date
11/20/2006
Last updated
09/14/2010
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