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General NPI Number Information
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NPI Number | 1700011640
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Entity Type | Organization
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Legal Business Name | JOSEPH F LANG MD PL
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Dates
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Enumeration Date | 05/21/2009
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Last Update Date | 11/06/2012
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Provider Practice Location Address
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Address Line | 983 N COLLIER BLVD
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City | MARCO ISLAND
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State | FL
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Zip | 34145-2773
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Country | US
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Telephone | 239-389-5264
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Fax | 239-389-5260
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Provider Business Mailing Address
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Address Line | PO BOX 2026
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City | MARCO ISLAND
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State | FL
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Zip | 34146-2026
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Country | US
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Telephone | 239-389-5264
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Fax | 239-389-5260
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. JOSEPH F LANG
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Credential | M.D.
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Telephone | 239-389-5264
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | ME77071
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License Number State | FL
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