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Individual
WILLIAM DODDS TANKE
Active
Individual
WILLIAM DODDS TANKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 1868
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
078289100
—
FL
01
—
20091
BLUE CROSS BLUE SHIELD
FL
01
—
3492910
AETNA HMO
FL
01
—
7792285
AETNA PPO
FL
01
—
9350415
CIGNA
FL
Enumeration date
06/01/2005
Last updated
12/22/2014
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