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Individual
TEODORO C TANG JR.
Active
Individual
TEODORO C TANG JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2006001147
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4400155
UNITED HEALTH CARE
MO
01
—
V08672
MERCY
MO
Enumeration date
07/29/2006
Last updated
08/02/2011
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