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General NPI Number Information
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NPI Number | 1063695039
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Entity Type | Organization
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Legal Business Name | JANEJARAH HANG
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Dates
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Enumeration Date | 12/12/2007
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Last Update Date | 12/12/2007
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Provider Practice Location Address
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Address Line | 407 E 52ND ST
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City | TACOMA
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State | WA
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Zip | 98404-1370
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Country | US
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Telephone | 253-472-5999
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Fax |
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Provider Business Mailing Address
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Address Line | 407 E 52ND ST
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City | TACOMA
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State | WA
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Zip | 98404-1370
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Country | US
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Telephone | 253-472-5999
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTIC TECHNICIAN
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Name | MS. JANEJARAH TOUCH HANG
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Credential |
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Telephone | 253-472-5999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | NC10085666
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License Number State | WA
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