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General NPI Number Information
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NPI Number | 1245405471
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Entity Type | Individual
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Provider Name | REED WANG LAC., MD
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Gender | Male
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Dates
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Enumeration Date | 04/29/2008
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Last Update Date | 04/29/2008
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Provider Practice Location Address
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Address Line | 129 KINGS HWY N TOP LEVEL
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City | WESTPORT
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State | CT
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Zip | 06880-2438
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Country | US
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Telephone | 212-810-1268
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Fax | 203-226-4777
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Provider Business Mailing Address
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Address Line | 444 BEDFORD ST SUITE 8E
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City | STAMFORD
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State | CT
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Zip | 06901-1516
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Country | US
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Telephone | 203-826-8699
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Fax | 203-826-8699
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 000341
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 002943
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License Number State | NY
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