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General NPI Number Information
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NPI Number | 1063588945
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Entity Type | Individual
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Provider Name | DENNIS S WANG MD
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Gender | Male
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Dates
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Enumeration Date | 11/24/2006
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Last Update Date | 09/29/2020
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Provider Practice Location Address
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Address Line | 501 W 7TH ST
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City | FREDERICK
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State | MD
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Zip | 21701-4586
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Country | US
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Telephone | 240-575-2526
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 37086
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City | BALTIMORE
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State | MD
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Zip | 21297-3086
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Country | US
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Telephone | 240-439-8812
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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 | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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License Number | MD21317
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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License Number | MD432263
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 2086S0127X
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Taxonomy Name | Trauma Surgery Physician
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License Number | 0101238702
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 2086S0127X
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Taxonomy Name | Trauma Surgery Physician
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License Number | 28810
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License Number State | OK
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Taxonomy #5
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | D46749
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License Number State | MD
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