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General NPI Number Information
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NPI Number | 1326590761
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Entity Type | Individual
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Provider Name | PANG CHIA HER PA-C, NP-C
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Gender | Female
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Dates
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Enumeration Date | 11/02/2016
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Last Update Date | 04/19/2021
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Provider Practice Location Address
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Address Line | 2780 ORO DAM BLVD E
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City | OROVILLE
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State | CA
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Zip | 95966-5192
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Country | US
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Telephone | 530-538-5634
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Fax |
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Provider Business Mailing Address
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Address Line | 12 DORAX DR
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City | OROVILLE
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State | CA
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Zip | 95966-7813
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Country | US
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Telephone | 530-680-3726
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Fax |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95005294
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 53959
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License Number State | CA
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