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General NPI Number Information
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NPI Number | 1750726899
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Entity Type | Individual
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Provider Name | STEPHANIE TANG MARR D.O.
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Gender | Female
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Dates
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Enumeration Date | 05/02/2013
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 11333 N SEPULVEDA BLVD
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City | MISSION HILLS
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State | CA
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Zip | 91345-1116
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Country | US
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Telephone | 818-869-7256
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Fax | 818-869-7133
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Provider Business Mailing Address
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Address Line | PO BOX 9606
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City | MISSION HILLS
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State | CA
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Zip | 91346-9602
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Country | US
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Telephone | 213-394-7921
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 20A15362
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 191640
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License Number State | NC
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