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General NPI Number Information
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NPI Number | 1063030005
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Entity Type | Organization
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Legal Business Name | RED ENVELOPE APMC
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Dates
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Enumeration Date | 07/07/2020
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Last Update Date | 05/30/2024
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Provider Practice Location Address
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Address Line | 42439 PELICAN PROFESSIONAL PARK
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City | HAMMOND
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State | LA
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Zip | 70403-2405
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Country | US
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Telephone | 985-542-1226
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Fax | 985-542-2887
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Provider Business Mailing Address
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Address Line | 42439 PELICAN PROFESSIONAL PARK
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City | HAMMOND
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State | LA
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Zip | 70403-2405
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Country | US
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Telephone | 985-542-1226
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Fax | 985-542-2887
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JASON HAN-CHOW CHIANG
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Credential | MD
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Telephone | 985-542-1226
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number |
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License Number State |
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