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General NPI Number Information
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NPI Number | 1992873723
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Entity Type | Individual
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Provider Name | NANG LOK ELLICK TSANG M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/01/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3085 24TH ST STE 203
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City | SAN FRANCISCO
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State | CA
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Zip | 94110-4153
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Country | US
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Telephone | 415-648-5900
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Fax | 650-491-7735
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Provider Business Mailing Address
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Address Line | 3055 26TH AVE
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City | SAN FRANCISCO
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State | CA
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Zip | 94132-1545
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Country | US
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Telephone | 415-648-5900
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Fax | 650-491-7735
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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 | CA A053928
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License Number State | CA
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