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General NPI Number Information
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NPI Number | 1689949257
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Entity Type | Individual
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Provider Name | IAN K TSENG M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/15/2012
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Last Update Date | 03/25/2025
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Provider Practice Location Address
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Address Line | 17595 HARVARD AVE STE C
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City | IRVINE
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State | CA
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Zip | 92614
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Country | US
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Telephone | 949-870-9996
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Fax |
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Provider Business Mailing Address
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Address Line | 17595 HARVARD AVE STE C
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City | IRVINE
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State | CA
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Zip | 92614-8522
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Country | US
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Telephone | 949-870-9996
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | A129394
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 25MA09270800
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License Number State | NJ
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