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General NPI Number Information
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NPI Number | 1740801802
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Entity Type | Individual
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Provider Name | PATRICIA LYNN TANG ND
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Gender | Female
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Dates
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Enumeration Date | 04/29/2020
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Last Update Date | 05/01/2020
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Provider Practice Location Address
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Address Line | 1609 SE 170TH AVE
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City | VANCOUVER
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State | WA
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Zip | 98683-3451
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Country | US
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Telephone | 360-433-7209
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Fax |
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Provider Business Mailing Address
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Address Line | 1609 SE 170TH AVE
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City | VANCOUVER
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State | WA
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Zip | 98683-3451
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Country | US
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Telephone |
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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 | 175F00000X
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Taxonomy Name | Naturopath
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License Number | 4310
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License Number State | OR
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