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General NPI Number Information
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NPI Number | 1700502549
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Entity Type | Individual
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Provider Name | HANCHEN FANG
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Gender | Male
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Dates
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Enumeration Date | 10/13/2022
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Last Update Date | 02/27/2025
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Provider Practice Location Address
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Address Line | 5109 E 5TH ST
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City | KATY
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State | TX
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Zip | 77493-2117
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Country | US
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Telephone | 832-898-8138
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Fax |
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Provider Business Mailing Address
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Address Line | 10016 HIDDEN LAKE LN
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City | RICHMOND
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State | TX
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Zip | 77406-7743
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Country | US
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Telephone | 832-898-8138
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT-22-224503
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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