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General NPI Number Information
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NPI Number | 1306264544
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Entity Type | Individual
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Provider Name | YUNSHEN WANG
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Gender | Male
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Dates
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Enumeration Date | 04/04/2014
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Last Update Date | 04/04/2014
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Provider Practice Location Address
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Address Line | 465 UNION AVE
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City | BRIDGEWATER
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State | NJ
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Zip | 08807-3196
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Country | US
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Telephone | 732-667-7767
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Fax |
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Provider Business Mailing Address
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Address Line | 35 MILL RD APT 5A
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City | EDISON
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State | NJ
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Zip | 08817-4833
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Country | US
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Telephone | 732-668-9886
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Fax | 732-510-1015
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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 | 25MZ00105800
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License Number State | NJ
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