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General NPI Number Information
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NPI Number | 1336625128
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Entity Type | Individual
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Provider Name | MICHELLE TANG
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Gender | Female
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Dates
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Enumeration Date | 07/14/2018
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Last Update Date | 07/14/2018
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Provider Practice Location Address
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Address Line | 516 SCHOOL HOUSE RD
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City | KENNETT SQUARE
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State | PA
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Zip | 19348-1742
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Country | US
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Telephone | 610-444-5941
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Fax | 610-444-6257
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Provider Business Mailing Address
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Address Line | 11 SCALEBY LN
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City | WEST CHESTER
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State | PA
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Zip | 19382-6924
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Country | US
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Telephone | 215-327-7607
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPI008403
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP441082
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License Number State | PA
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