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General NPI Number Information
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NPI Number | 1164021788
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Entity Type | Individual
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Provider Name | WEN CHIAN OUYANG RN, NP-C
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Gender | Female
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Dates
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Enumeration Date | 10/23/2020
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Last Update Date | 11/13/2020
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Provider Practice Location Address
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Address Line | 2301 ERWIN RD
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City | DURHAM
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State | NC
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Zip | 27705-4699
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Country | US
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Telephone | 919-684-8111
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Fax |
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Provider Business Mailing Address
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Address Line | 2901 BERTLAND AVE APT 1732
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City | DURHAM
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State | NC
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Zip | 27705-6831
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Country | US
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Telephone | 646-775-0555
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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 | AG07200233
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License Number State | NC
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