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General NPI Number Information
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NPI Number | 1457794729
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Entity Type | Individual
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Provider Name | ALBERT KANG DDS
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Gender | Male
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Dates
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Enumeration Date | 04/16/2013
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Last Update Date | 06/27/2018
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Provider Practice Location Address
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Address Line | 270 LITTLETON RD STE 1
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City | WESTFORD
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State | MA
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Zip | 01886
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Country | US
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Telephone | 978-392-9095
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Fax |
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Provider Business Mailing Address
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Address Line | 4 LITTLES BROOK CT APT 117
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City | BURLINGTON
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State | MA
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Zip | 01803-6514
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Country | US
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Telephone | 562-242-6756
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | DN1857839
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License Number State | MA
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