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General NPI Number Information
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NPI Number | 1659794147
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Entity Type | Organization
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Legal Business Name | JANE KANG, M.D. P.A.
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Dates
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Enumeration Date | 02/04/2014
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Last Update Date | 02/04/2014
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Provider Practice Location Address
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Address Line | 8140 N MOPAC EXPY WESTPARK BUILDING 2 SUITE 200
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City | AUSTIN
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State | TX
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Zip | 78759-8837
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Country | US
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Telephone | 512-346-2332
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Fax |
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Provider Business Mailing Address
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Address Line | 8807 SILVERHILL CV
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City | AUSTIN
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State | TX
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Zip | 78759-7415
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Country | US
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Telephone | 713-416-5264
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JANE KANG
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Credential | M.D.
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Telephone | 713-416-5264
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | L5782
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License Number State | TX
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