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General NPI Number Information
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NPI Number | 1902743867
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Entity Type | Individual
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Provider Name | YU PANG TANG
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Gender | Male
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Dates
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Enumeration Date | 04/30/2026
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Last Update Date | 04/30/2026
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Provider Practice Location Address
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Address Line | 595 LAWRENCE EXPY # 104
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City | SUNNYVALE
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State | CA
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Zip | 94085-3922
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Country | US
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Telephone | 669-204-6169
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Fax |
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Provider Business Mailing Address
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Address Line | 10455 CORTE DE SEVILLE
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City | CUPERTINO
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State | CA
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Zip | 95014-3407
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Country | US
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Telephone |
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Fax |
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 20601
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License Number State | CA
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