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General NPI Number Information
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NPI Number | 1144129586
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Entity Type | Individual
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Provider Name | PANG HOUA XIONG-YANG
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Gender | Female
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Dates
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Enumeration Date | 11/03/2026
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Last Update Date | 11/03/2026
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Provider Practice Location Address
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Address Line | 4100 TREFFERT DR
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City | OSHKOSH
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State | WI
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Zip | 54901
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Country | US
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Telephone | 920-235-4910
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Fax |
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Provider Business Mailing Address
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Address Line | W4591 BELGIUM KOHLER RD
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City | FREDONIA
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State | WI
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Zip | 53021-9746
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Country | US
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Telephone | 715-210-5603
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 18132-33
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License Number State | WI
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