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General NPI Number Information
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NPI Number | 1356579460
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Entity Type | Individual
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Provider Name | DAISY H BANG MD
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Gender | Female
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Dates
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Enumeration Date | 06/26/2009
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Last Update Date | 10/07/2024
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Provider Practice Location Address
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Address Line | 2 IVY BROOK RD STE 115
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City | SHELTON
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State | CT
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Zip | 06484-6416
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Country | US
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Telephone | 203-954-0080
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Fax | 203-954-0084
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Provider Business Mailing Address
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Address Line | 2 IVY BROOK RD STE 115
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City | SHELTON
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State | CT
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Zip | 06484-6416
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Country | US
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Telephone | 203-954-0080
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Fax | 203-954-0084
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 195213
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 54070
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License Number State | CT
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