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Individual
CHAD LANGE
Active
Individual
CHAD LANGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
43368
AZ
Other
Enumeration date
09/30/2009
Last updated
09/17/2015
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