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General NPI Number Information
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NPI Number | 1063941615
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Entity Type | Individual
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Provider Name | JAU-ANN TSAI MD
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Gender | Male
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Dates
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Enumeration Date | 06/07/2017
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Last Update Date | 09/08/2022
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Provider Practice Location Address
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Address Line | 611 NORTHERN BLVD
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City | GREAT NECK
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State | NY
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Zip | 11021-5207
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Country | US
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Telephone | 516-233-3456
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Fax |
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Provider Business Mailing Address
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Address Line | 300 COMMUNITY DR
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City | MANHASSET
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State | NY
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Zip | 11030-3816
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Country | US
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Telephone |
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Fax |
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 314458-01
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License Number State | NY
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