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General NPI Number Information
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NPI Number | 1760514426
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Entity Type | Individual
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Provider Name | GEORGE K.T. PANG M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/09/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 8135 PAINTER AVE SUITE 305
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City | WHITTIER
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State | CA
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Zip | 90602-3102
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Country | US
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Telephone | 562-693-8258
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Fax | 562-907-6865
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Provider Business Mailing Address
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Address Line | 8135 PAINTER AVE SUITE 305
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City | WHITTIER
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State | CA
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Zip | 90602-3102
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Country | US
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Telephone | 562-693-8258
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Fax | 562-907-6865
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A37543
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License Number State | CA
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