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General NPI Number Information
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NPI Number | 1255820312
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Entity Type | Individual
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Provider Name | NGA MAN TANG MD
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Gender | Female
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Dates
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Enumeration Date | 05/04/2018
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 333 N. SANTA ROSA
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City | SAN ANTONIO
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State | TX
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Zip | 78207
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Country | US
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Telephone | 210-704-3030
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Fax | 210-704-4922
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Provider Business Mailing Address
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Address Line | 315 N SAN SABA STE 113
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City | SAN ANTONIO
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State | TX
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Zip | 78207-3154
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Country | US
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Telephone | 210-704-3030
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Fax | 210-704-4037
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A174060
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | V5840
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 2080P0203X
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Taxonomy Name | Pediatric Critical Care Medicine Physician
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License Number | A174060
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 2080P0203X
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Taxonomy Name | Pediatric Critical Care Medicine Physician
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License Number | V5840
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License Number State | TX
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