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General NPI Number Information
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NPI Number | 1215355748
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Entity Type | Individual
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Provider Name | DENNIS MANSFIELD TANG M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/01/2014
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Last Update Date | 08/21/2020
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Provider Practice Location Address
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Address Line | 8631 W 3RD ST # 915E
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City | LOS ANGELES
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State | CA
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Zip | 90048-5901
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Country | US
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Telephone | 310-423-1220
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Fax |
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Provider Business Mailing Address
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Address Line | 9500 EUCLID AVE
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City | CLEVELAND
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State | OH
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Zip | 44195-0001
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Country | US
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Telephone | 216-444-2200
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Fax | 216-636-1548
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 35.135613
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | A167806
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License Number State | CA
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