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General NPI Number Information
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NPI Number | 1053471102
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Entity Type | Individual
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Provider Name | JUERGEN LANG MD
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Gender | Male
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 91500 OVERSEAS HWY BAPTIST HEALTH MARINERS HOSPITAL
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City | TAVERNIER
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State | FL
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Zip | 33070
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Country | US
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Telephone | 305-434-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 91500 OVERSEAS HWY
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City | TAVERNIER
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State | FL
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Zip | 33070-2547
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Country | US
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Telephone | 305-434-3000
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD00030715
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 207PE0004X
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Taxonomy Name | Emergency Medical Services (Emergency Medicine) Physician
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License Number | ME164763
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License Number State | FL
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