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General NPI Number Information
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NPI Number | 1124639034
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Entity Type | Individual
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Provider Name | HAIYAN WANG
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Gender | Female
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Dates
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Enumeration Date | 08/13/2020
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 4035 JOHNS CREEK PKWY STE A
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City | SUWANEE
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State | GA
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Zip | 30024-1213
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Country | US
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Telephone | 470-268-6980
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Fax |
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Provider Business Mailing Address
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Address Line | 3651 PEACHTREE PKWY STE E-313
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City | SUWANEE
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State | GA
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Zip | 30024-6034
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Country | US
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Telephone | 470-268-6980
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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 | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | APRN-NP310382
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License Number State | GA
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