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General NPI Number Information
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NPI Number | 1174866412
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Entity Type | Organization
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Legal Business Name | HSUANTING TANG
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Dates
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Enumeration Date | 04/05/2013
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Last Update Date | 04/05/2013
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Provider Practice Location Address
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Address Line | 1800 E OLD RANCH RD APT 158
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City | COLTON
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State | CA
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Zip | 92324-6465
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Country | US
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Telephone | 909-965-5117
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Fax |
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Provider Business Mailing Address
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Address Line | 1800 E OLD RANCH RD APT 158
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City | COLTON
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State | CA
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Zip | 92324-6465
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Country | US
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Telephone | 909-965-5117
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Fax |
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Authorized Official
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Title or Position | REGISTERED DIETITIAN
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Name | MS. HSUANTING TANG
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Credential | MS, RD
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Telephone | 909-965-5117
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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