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General NPI Number Information
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NPI Number | 1053757195
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Entity Type | Individual
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Provider Name | VANESSA JOYCE TANG M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/16/2013
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Last Update Date | 05/04/2021
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Provider Practice Location Address
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Address Line | 1920 E BASELINE RD
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City | TEMPE
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State | AZ
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Zip | 85283-1511
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Country | US
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Telephone | 480-453-5000
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Fax | 480-345-5266
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Provider Business Mailing Address
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Address Line | 25500 N NORTERRA DR
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City | PHOENIX
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State | AZ
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Zip | 85085-8200
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Country | US
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Telephone | 623-277-1130
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Fax | 866-837-6575
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | R73751
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License Number State | AZ
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