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General NPI Number Information
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NPI Number | 1548132343
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Entity Type | Individual
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Provider Name | GIA KANG
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Gender | Female
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Dates
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Enumeration Date | 09/22/2025
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Last Update Date | 11/08/2025
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Provider Practice Location Address
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Address Line | 1985 MAIN ST
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City | SPRINGFIELD
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State | MA
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Zip | 01103-1095
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Country | US
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Telephone | 413-733-6639
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Fax |
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Provider Business Mailing Address
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Address Line | 812 MEMORIAL DR APT 1802
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City | CAMBRIDGE
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State | MA
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Zip | 02139-4928
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Country | US
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Telephone |
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | RN2359044
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License Number State | MA
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