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General NPI Number Information
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NPI Number | 1427158294
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Entity Type | Organization
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Legal Business Name | KARING PEDIATRICS MEDICAL GROUP
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 06/01/2022
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Provider Practice Location Address
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Address Line | 936 PINE AVE
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City | LONG BEACH
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State | CA
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Zip | 90813-4326
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Country | US
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Telephone | 562-269-5658
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Fax | 562-495-1878
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Provider Business Mailing Address
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Address Line | 936 PINE AVE
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City | LONG BEACH
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State | CA
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Zip | 90813-4326
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Country | US
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Telephone | 562-269-5658
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Fax | 562-495-1878
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Authorized Official
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Title or Position | CO-OWNER
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Name | DR. SONG NGO TAN
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Credential | M.D.
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Telephone | 562-491-9292
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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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 |
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License Number State |
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