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General NPI Number Information
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NPI Number | 1134548548
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Entity Type | Individual
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Provider Name | DAVID SHINLI WANG M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/14/2014
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Last Update Date | 03/24/2023
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Provider Practice Location Address
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Address Line | COLUMBIA UNIVERSITY MEDICAL CENTER 622 WEST 168TH STREET
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City | NEW YORK
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State | NY
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Zip | 10032
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Country | US
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Telephone | 987-621-2305
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Fax |
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Provider Business Mailing Address
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Address Line | 333 E ONTARIO ST APT 3605B
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City | CHICAGO
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State | IL
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Zip | 60611-4888
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Country | US
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Telephone | 703-568-0765
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 299654
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207LC0200X
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Taxonomy Name | Critical Care Medicine (Anesthesiology) Physician
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License Number | 299652
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License Number State | NY
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