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General NPI Number Information
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NPI Number | 1124523014
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Entity Type | Individual
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Provider Name | LILLIAN WANG MD
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Gender | Female
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Dates
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Enumeration Date | 03/24/2018
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 6002 WESTGATE BLVD STE 230
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City | TACOMA
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State | WA
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Zip | 98406-2572
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Country | US
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Telephone | 253-272-8664
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Fax | 253-779-8364
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Provider Business Mailing Address
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Address Line | 6002 WESTGATE BLVD STE 230
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City | TACOMA
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State | WA
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Zip | 98406-2572
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Country | US
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Telephone | 253-272-8664
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Fax | 253-779-8364
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 65954
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 65954
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | MD61690178
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License Number State | WA
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