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General NPI Number Information
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NPI Number | 1477648012
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Entity Type | Individual
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Provider Name | JAMES J JANG MD
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Gender | Male
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 02/17/2014
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Provider Practice Location Address
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Address Line | 1101 MEDICAL CTR. BLVD. PEDIATRIC ER
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City | MARRERO
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State | LA
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Zip | 70072
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Country | US
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Telephone | 504-349-1554
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Fax | 504-349-1579
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Provider Business Mailing Address
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Address Line | 1101 MEDICAL CTR. BLVD. PEDIATRIC ER
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City | MARRERO
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State | LA
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Zip | 70072
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Country | US
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Telephone | 504-349-1554
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Fax | 504-349-1579
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 28497
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License Number State | SC
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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 | 025790
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License Number State | LA
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