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General NPI Number Information
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NPI Number | 1467984435
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Entity Type | Individual
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Provider Name | DAVID JIANG MD
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Gender | Male
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Dates
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Enumeration Date | 03/29/2017
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Last Update Date | 01/15/2026
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Provider Practice Location Address
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Address Line | 103 BODIN CIR BLDG 778
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City | TRAVIS AFB
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State | CA
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Zip | 94535-1801
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Country | US
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Telephone | 707-437-1800
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Fax |
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Provider Business Mailing Address
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Address Line | 103 BODIN CIR BLDG 778
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City | TRAVIS AFB
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State | CA
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Zip | 94535-1801
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Country | US
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Telephone | 707-437-1800
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | C206437
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 125070705
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 036.150128
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License Number State | IL
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