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General NPI Number Information
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NPI Number | 1053485557
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Entity Type | Individual
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Provider Name | ZHIQIANG WANG M.D., PH.D.
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Gender | Male
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Dates
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Enumeration Date | 11/17/2006
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 123 S COMMERCE ST STE E
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City | STOCKTON
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State | CA
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Zip | 95202-2837
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Country | US
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Telephone | 650-492-0118
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Fax |
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Provider Business Mailing Address
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Address Line | 203 DELPHI CIR
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City | LOS ALTOS
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State | CA
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Zip | 94022-1252
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Country | US
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Telephone | 650-492-0118
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Fax | 209-288-5300
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | R1903
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | A65222
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | A65222
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License Number State | CA
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