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General NPI Number Information
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NPI Number | 1093693772
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Entity Type | Individual
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Provider Name | MR. WING HONG TANG
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Gender | Male
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Dates
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Enumeration Date | 08/22/2025
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Last Update Date | 08/22/2025
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Provider Practice Location Address
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Address Line | 1100 SAN LEANDRO BLVD STE 400
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City | SAN LEANDRO
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State | CA
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Zip | 94577-1670
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Country | US
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Telephone | 510-577-3517
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Fax |
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Provider Business Mailing Address
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Address Line | 3591 QUAIL LAKES DR APT 32
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City | STOCKTON
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State | CA
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Zip | 95207-5253
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Country | US
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Telephone | 415-218-0376
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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 | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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