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General NPI Number Information
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NPI Number | 1235713223
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Entity Type | Individual
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Provider Name | KEVIN CLEMENT CHIANG MD
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Gender | Male
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Dates
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Enumeration Date | 05/06/2021
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 5700 DALLAS PKWY
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City | FRISCO
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State | TX
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Zip | 75034-9580
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Country | US
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Telephone | 469-515-7100
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Fax | 469-515-7101
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Provider Business Mailing Address
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Address Line | 2222 WELBORN ST
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City | DALLAS
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State | TX
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Zip | 75219-3924
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Country | US
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Telephone | 214-559-5000
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Fax | 214-443-7309
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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 | 2080S0010X
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Taxonomy Name | Pediatric Sports Medicine Physician
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License Number | 35.150573
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2080S0010X
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Taxonomy Name | Pediatric Sports Medicine Physician
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License Number | V9292
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License Number State | TX
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