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General NPI Number Information
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NPI Number | 1063762540
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Entity Type | Organization
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Legal Business Name | NICHOLAS DANG MD PA
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Dates
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Enumeration Date | 09/12/2012
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Last Update Date | 12/04/2019
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Provider Practice Location Address
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Address Line | 5352 LINTON BLVD
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City | DELRAY BEACH
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State | FL
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Zip | 33484-6514
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Country | US
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Telephone | 561-212-9866
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Fax |
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Provider Business Mailing Address
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Address Line | 7261 BRUNSWICK CIR
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City | BOYNTON BEACH
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State | FL
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Zip | 33472-2542
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Country | US
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Telephone | 561-212-9866
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | NICHOLAS DANG
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Credential | MD
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Telephone | 561-212-9866
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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