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General NPI Number Information
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NPI Number | 1780635334
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Entity Type | Organization
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Legal Business Name | GARY Y. HUANG, MD A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 05/16/2006
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Last Update Date | 11/22/2010
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Provider Practice Location Address
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Address Line | 1180 N INDIAN CANYON DR SUITE E-205
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City | PALM SPRINGS
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State | CA
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Zip | 92262-4800
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Country | US
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Telephone | 760-449-0966
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Fax | 760-864-7265
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Provider Business Mailing Address
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Address Line | PO BOX 503
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City | PALM SPRINGS
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State | CA
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Zip | 92263-0503
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Country | US
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Telephone | 760-449-0966
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Fax | 760-864-7265
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Authorized Official
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Title or Position | OWNER / PRESIDENT
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Name | GARY Y HUANG
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Credential | MD
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Telephone | 760-449-0966
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | A65342
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | A65342
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A65342
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License Number State | CA
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