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General NPI Number Information
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NPI Number | 1063720217
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Entity Type | Organization
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Legal Business Name | DAVID J. LANG,MD
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Dates
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Enumeration Date | 09/22/2010
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Last Update Date | 09/22/2010
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Provider Practice Location Address
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Address Line | 359 SAN MIGUEL DR SUITE 206
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-7812
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Country | US
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Telephone | 949-706-2751
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Fax |
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Provider Business Mailing Address
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Address Line | 2117 VICTORIA DR
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City | SANTA ANA
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State | CA
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Zip | 92706
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Country | US
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Telephone | 714-478-2140
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Fax | 949-706-2761
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. PATRICIA M LEMUS
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Credential | CMA
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Telephone | 949-706-2751
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | G50878
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License Number State | CA
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