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General NPI Number Information
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NPI Number | 1124037247
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Entity Type | Individual
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Provider Name | SHU-HSIA WANG D.M.D
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Gender | Female
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Dates
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Enumeration Date | 08/07/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 16037 COMPRINT CIR
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City | GAITHERSBURG
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State | MD
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Zip | 20877-1320
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Country | US
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Telephone | 301-977-8383
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Fax |
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Provider Business Mailing Address
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Address Line | 951 FARM HAVEN DR
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City | ROCKVILLE
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State | MD
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Zip | 20852-4248
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Country | US
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Telephone | 301-984-1985
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 8204
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 6311
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License Number State | VA
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