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General NPI Number Information
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NPI Number | 1023490026
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Entity Type | Individual
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Provider Name | DIXIN WANG D.M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/25/2015
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Last Update Date | 06/25/2023
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Provider Practice Location Address
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Address Line | 1000 WOODCOCK RD STE 120. ORLANDO, FL 32803
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City | ORLANDO
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State | FL
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Zip | 32803-3603
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Country | US
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Telephone | 717-759-4378
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 WOODCOCK RD STE. 120
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City | ORLANDO
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State | FL
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Zip | 32803
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Country | US
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Telephone |
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | DN25322
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License Number State | FL
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