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General NPI Number Information
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NPI Number | 1598101115
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Entity Type | Individual
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Provider Name | REBECCA SMITH TANG MD
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Gender | Female
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Dates
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Enumeration Date | 05/22/2013
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 2025 TATE SPRINGS RD STE B1
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City | LYNCHBURG
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State | VA
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Zip | 24501-1116
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Country | US
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Telephone | 434-200-2900
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Fax | 434-200-2901
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Provider Business Mailing Address
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Address Line | 245 CHERRY ST SE STE 104
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City | GRAND RAPIDS
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State | MI
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Zip | 49503-4607
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Country | US
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Telephone | 616-685-5050
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Fax | 616-685-8962
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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 | 0101278694
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License Number State | VA
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