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General NPI Number Information
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NPI Number | 1841357589
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Entity Type | Individual
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Provider Name | AN THIEN TANG M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/02/2007
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Last Update Date | 04/19/2023
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Provider Practice Location Address
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Address Line | 545 GULFGATE CENTER MALL
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City | HOUSTON
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State | TX
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Zip | 77087-3023
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Country | US
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Telephone | 281-846-7209
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Fax | 833-845-2872
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Provider Business Mailing Address
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Address Line | 4700 MILLENIA BLVD STE 650
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City | ORLANDO
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State | FL
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Zip | 32839-6013
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Country | US
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Telephone | 407-533-6836
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Fax | 407-232-9316
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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 | M5537
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License Number State | TX
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