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General NPI Number Information
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NPI Number | 1437145042
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Entity Type | Individual
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Provider Name | JOHN CUONG TANG M.D
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Gender | Male
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Dates
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Enumeration Date | 09/20/2005
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Last Update Date | 10/14/2015
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Provider Practice Location Address
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Address Line | 14410 BIG BASIN WAY
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City | SARATOGA
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State | CA
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Zip | 95070-6010
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Country | US
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Telephone | 408-221-7184
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Fax |
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Provider Business Mailing Address
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Address Line | 966 TWIN BROOK DR
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City | SAN JOSE
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State | CA
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Zip | 95126-4067
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Country | US
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Telephone | 408-221-7184
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A70341
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | A70341
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License Number State | CA
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