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General NPI Number Information
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NPI Number | 1124373345
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Entity Type | Organization
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Legal Business Name | ZHIJUN WANG MD INC
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Dates
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Enumeration Date | 07/14/2012
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Last Update Date | 07/14/2012
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Provider Practice Location Address
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Address Line | 22 ODYSSEY SUITE 105
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City | IRVINE
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State | CA
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Zip | 92618-3186
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Country | US
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Telephone | 949-733-0988
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Fax | 949-733-0972
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Provider Business Mailing Address
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Address Line | 22 ODYSSEY SUITE 105
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City | IRVINE
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State | CA
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Zip | 92618-3186
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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 | DR.
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Name | DR. ZHIJUN WANG
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Credential |
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Telephone | 949-733-0988
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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