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General NPI Number Information
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NPI Number | 1013254366
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Entity Type | Individual
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Provider Name | KAIMING CHIANG PA
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Gender | Male
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Dates
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Enumeration Date | 01/07/2013
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 140 LINCOLN AVE
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City | HAVERHILL
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State | MA
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Zip | 01830-6700
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Country | US
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Telephone | 978-374-2000
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Fax | 781-828-2471
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Provider Business Mailing Address
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Address Line | 79 WISTARIA ST
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City | WEST SPRINGFIELD
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State | MA
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Zip | 01089-2244
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Country | US
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Telephone | 413-459-6565
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA4628
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License Number State | MA
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