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General NPI Number Information
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NPI Number | 1295951978
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Entity Type | Individual
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Provider Name | MINGMING WANG LAC
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Gender | Female
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1498 3RD AVE B
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City | NEW YORK
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State | NY
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Zip | 10028-2115
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Country | US
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Telephone | 212-288-9588
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Fax | 212-288-2815
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Provider Business Mailing Address
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Address Line | 50 ALEXANDER AVE
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City | HICKSVILLE
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State | NY
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Zip | 11801-6355
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Country | US
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Telephone | 516-796-0638
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Fax | 516-465-3817
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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 | 002920
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License Number State | NY
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