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General NPI Number Information
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NPI Number | 1811484975
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Entity Type | Individual
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Provider Name | MICHELLE TANG
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Gender | Female
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Dates
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Enumeration Date | 04/15/2018
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Last Update Date | 05/30/2025
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Provider Practice Location Address
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Address Line | 500 N WASHINGTON ST FL 3
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City | FALLS CHURCH
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State | VA
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Zip | 22046-3570
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Country | US
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Telephone | 571-419-5640
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Fax | 571-419-5641
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Provider Business Mailing Address
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Address Line | PO BOX 37174
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City | BALTIMORE
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State | MD
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Zip | 21297-3174
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Country | US
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Telephone | 571-423-5699
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Fax | 571-423-5698
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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 | A163602
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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 | 0101282483
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License Number State | VA
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