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General NPI Number Information
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NPI Number | 1609660232
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Entity Type | Individual
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Provider Name | STELLA COLLEEN TANG
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Gender | Female
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Dates
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Enumeration Date | 04/08/2025
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 445 LENOX RD
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City | BROOKLYN
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State | NY
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Zip | 11203-2017
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Country | US
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Telephone | 718-270-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 2539 E 13TH ST FL 2
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City | BROOKLYN
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State | NY
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Zip | 11235-4303
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Country | US
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Telephone | 718-310-9474
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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 | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number |
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License Number State |
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