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General NPI Number Information
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NPI Number | 1982769519
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Entity Type | Individual
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Provider Name | AUDREY Y CHIANG M.D.
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Gender | Female
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Dates
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Enumeration Date | 12/26/2006
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Last Update Date | 07/07/2008
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Provider Practice Location Address
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Address Line | UC SAN DIEGO DEPARTMENT OF ANESTHESIOLOGY 200 WEST ARBOR DRIVE MC 0801
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City | SAN DIEGO
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State | CA
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Zip | 92103
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Country | US
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Telephone | 619-543-5720
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Fax |
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Provider Business Mailing Address
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Address Line | 2772 STRATHBLANE AVE
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City | HENDERSON
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State | NV
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Zip | 89044-1568
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Country | US
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Telephone | 619-808-8540
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | A92360
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | A92360
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License Number State | CA
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