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General NPI Number Information
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NPI Number | 1891766069
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Entity Type | Organization
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Legal Business Name | STEPHEN M. TSANG MD, INC., A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 01/27/2006
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Last Update Date | 11/05/2018
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Provider Practice Location Address
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Address Line | 1530 BESSIE AVE STE 103
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City | TRACY
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State | CA
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Zip | 95376-3080
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Country | US
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Telephone | 209-833-6221
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Fax | 209-839-0814
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Provider Business Mailing Address
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Address Line | 1530 BESSIE AVE SUITE 103
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City | TRACY
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State | CA
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Zip | 95376-3080
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Country | US
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Telephone | 209-833-6221
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Fax | 209-839-0814
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Authorized Official
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Title or Position | MD
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Name | DR. STEPHEN M TSANG
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Credential | MD
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Telephone | 209-833-6221
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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 | A69792
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License Number State |
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