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General NPI Number Information
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NPI Number | 1669509436
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Entity Type | Individual
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Provider Name | JENNIFER LANG M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 12/05/2012
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Provider Practice Location Address
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Address Line | 8900 WILSHIRE BLVD
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-1958
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Country | US
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Telephone | 310-432-8900
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Fax | 310-432-8901
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Provider Business Mailing Address
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Address Line | 8900 WILSHIRE BLVD
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-1958
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Country | US
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Telephone | 310-432-8900
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Fax | 310-432-8901
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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 | 207VX0201X
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Taxonomy Name | Gynecologic Oncology Physician
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License Number | A96071
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | A96071
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License Number State | CA
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