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General NPI Number Information
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NPI Number | 1801071907
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Entity Type | Organization
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Legal Business Name | SEPEIN CHIANG DO PC
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Dates
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Enumeration Date | 01/08/2008
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Last Update Date | 02/15/2008
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Provider Practice Location Address
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Address Line | 6036 N 19TH AVE SUITE 206
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City | PHOENIX
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State | AZ
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Zip | 85015
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Country | US
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Telephone | 602-242-6248
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Fax | 602-242-6264
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Provider Business Mailing Address
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Address Line | 6036 N 19TH AVE SUITE 206
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City | PHOENIX
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State | AZ
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Zip | 85015
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Country | US
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Telephone | 602-242-6248
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Fax | 602-242-6264
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. SEPEIN CHIANG
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Credential | DO
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Telephone | 602-242-6248
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 3880
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License Number State | AZ
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