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NPI Code Detail

MEDICARE: TANG HOLISTIC CHIROPRACTIC PA

MEDICARE: TANG HOLISTIC CHIROPRACTIC PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111NN1001XNutrition ChiropractorCH8478FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1K7098OTHERFLSENDER NUMBER

General Provider Information

NPI Number : 1487841219
Entity Type Code : Organization
Provider Name (Legal Business Name) : TANG HOLISTIC CHIROPRACTIC PA
Provider Business Mailing Address
First Line : 2889 10TH AVE N
Second Line : SUITE 303
City : PALM SPRINGS
State : FL
Zip : 33461-3045
Country : US
Telephone Number : 561-296-6866
Fax Number : 561-296-6869
Provider Business Practice Location Address
First Line : 2889 10TH AVE N
Second Line : SUITE 303
City : PALM SPRINGS
State : FL
Zip : 33461-3045
Country : US
Telephone Number : 561-296-6866
Fax Number : 561-296-6869
Authorized Official
Title or Position : DR.
Name : DR. HUI WEN TANG
Credential : D.C.
Telephone Number : 561-296-6866
Provider Enumeration Date : 09/25/2007
Last Update Date : 04/14/2014

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Directions to “TANG HOLISTIC CHIROPRACTIC PA ” Practice Location

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