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General NPI Number Information
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NPI Number | 1902930886
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Entity Type | Organization
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Legal Business Name | TANG BENJES & ASSOCIATES, P.C.
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Dates
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Enumeration Date | 03/15/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 332 WASHINGTON ST SUITE 305
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City | WELLESLEY HILLS
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State | MA
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Zip | 02481-6219
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Country | US
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Telephone | 781-237-3233
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Fax |
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Provider Business Mailing Address
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Address Line | 332 WASHINGTON ST SUITE 305
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City | WELLESLEY HILLS
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State | MA
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Zip | 02481-6219
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Country | US
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Telephone | 781-237-3233
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Fax |
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Authorized Official
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Title or Position | M.D.
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Name | STEPHEN TANG
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Credential | M.D.
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Telephone | 781-237-3233
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 54884
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License Number State | MA
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