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General NPI Number Information
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NPI Number | 1659532364
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Entity Type | Individual
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Provider Name | DANIEL GENE KANG MD
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Gender | Male
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Dates
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Enumeration Date | 06/24/2008
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Last Update Date | 11/06/2020
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Provider Practice Location Address
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Address Line | 9040 JACKSON AVENUE
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City | TACOMA
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State | WA
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Zip | 98431
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Country | US
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Telephone | 253-968-1790
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Fax | 314-747-2598
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Provider Business Mailing Address
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Address Line | 9040 JACKSON AVENUE
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City | TACOMA
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State | WA
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Zip | 98431
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Country | US
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Telephone | 253-968-1790
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Fax | 314-747-2598
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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 | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | 2014003380
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License Number State | MO
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