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General NPI Number Information
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NPI Number | 1639663388
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Entity Type | Individual
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Provider Name | ANJI TANG MD
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Gender | Female
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Dates
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Enumeration Date | 06/17/2018
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 172 KINSLEY ST
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City | NASHUA
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State | NH
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Zip | 03060-3648
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Country | US
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Telephone | 603-882-3000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 986520
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City | BOSTON
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State | MA
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Zip | 02298-6520
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Country | US
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Telephone | 207-784-2554
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Fax | 207-777-1439
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 289815
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 276699
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License Number State | MA
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