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General NPI Number Information
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NPI Number | 1265487524
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Entity Type | Individual
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Provider Name | ANDREW CHUN-LIH WANG M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/24/2006
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Last Update Date | 02/22/2021
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Provider Practice Location Address
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Address Line | 15350 SHERMAN WAY STE 200
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City | VAN NUYS
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State | CA
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Zip | 91406-4458
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Country | US
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Telephone | 818-267-1100
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Fax |
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Provider Business Mailing Address
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Address Line | 4955 VAN NUYS BLVD STE 604
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-1818
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Country | US
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Telephone | 818-346-4282
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Fax | 818-784-2663
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | G41734
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License Number State | CA
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