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General NPI Number Information
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NPI Number | 1750486999
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Entity Type | Organization
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Legal Business Name | HAU H. TAN, M.D., INC
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Dates
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Enumeration Date | 09/13/2006
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Last Update Date | 11/28/2022
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Provider Practice Location Address
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Address Line | 7871 UNIVERSITY AVE SUITE B
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City | LA MESA
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State | CA
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Zip | 91942-0471
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Country | US
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Telephone | 619-287-8270
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Fax | 619-287-8272
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Provider Business Mailing Address
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Address Line | 7871 UNIVERSITY AVE SUITE B
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City | LA MESA
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State | CA
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Zip | 91942-0471
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Country | US
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Telephone | 619-287-8270
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Fax | 619-287-8272
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | DR. HAU HIEN TAN
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Credential | M.D.
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Telephone | 619-287-8270
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A63428
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License Number State | CA
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