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General NPI Number Information
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NPI Number | 1033325063
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Entity Type | Organization
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Legal Business Name | WILLIAM WANG MEDICAL P.C
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 03/20/2009
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Provider Practice Location Address
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Address Line | 43-73 UNION STREET UNITS 1B & 1C
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City | FLUSHING
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State | NY
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Zip | 11355
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Country | US
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Telephone | 718-445-8884
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Fax | 718-445-1776
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Provider Business Mailing Address
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Address Line | 43-73 UNION ST UNITS 1B & 1C
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City | FLUSHING
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State | NY
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Zip | 11355-3063
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Country | US
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Telephone | 718-445-8884
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Fax | 718-445-1776
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Authorized Official
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Title or Position | BILLER
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Name | DAVID CHOU
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Credential |
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Telephone | 718-445-8884
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number | 220245
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License Number State | NY
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