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General NPI Number Information
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NPI Number | 1255405270
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Entity Type | Individual
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Provider Name | MR. REN TANG
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Gender | Male
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Dates
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Enumeration Date | 11/20/2006
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Last Update Date | 10/10/2009
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Provider Practice Location Address
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Address Line | 93 NORTH 14TH STREET #2
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City | SAN JOSE
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State | CA
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Zip | 95112-6200
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Country | US
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Telephone | 408-207-5953
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Fax | 408-962-0416
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Provider Business Mailing Address
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Address Line | 404 TOYAMA DRIVE
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City | SUNNYVALE
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State | CA
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Zip | 94089-2106
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Country | US
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Telephone | 408-962-0414
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Fax | 408-962-0416
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | HA6045
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License Number State | CA
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