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General NPI Number Information
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NPI Number | 1528038841
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Entity Type | Individual
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Provider Name | DALE J LANGE M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/26/2006
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Last Update Date | 02/17/2023
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Provider Practice Location Address
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Address Line | 800A 5TH AVE STE 203
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City | NEW YORK
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State | NY
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Zip | 10065-7215
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Country | US
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Telephone | 332-334-6637
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Fax |
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Provider Business Mailing Address
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Address Line | 15 ECHO RIDGE DR
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City | SARATOGA SPRINGS
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State | NY
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Zip | 12866-8752
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Country | US
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Telephone | 917-515-3110
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 150048
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License Number State | NY
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