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General NPI Number Information
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NPI Number | 1609100098
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Entity Type | Individual
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Provider Name | HAIYANG TAO M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/01/2009
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Last Update Date | 01/02/2024
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Provider Practice Location Address
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Address Line | 211 CHURCH STREET RADIOLOGY DEPT
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City | SARATOGA SPRINGS
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State | NY
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Zip | 12866-1046
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Country | US
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Telephone | 518-583-8461
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Fax |
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Provider Business Mailing Address
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Address Line | 38 HIGH ROCK AVE APT 5F
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City | SARATOGA SPRINGS
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State | NY
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Zip | 12866-2468
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Country | US
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Telephone | 513-256-7814
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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 | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 287519
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 287519
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License Number State | NY
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