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General NPI Number Information
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NPI Number | 1316478191
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Entity Type | Individual
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Provider Name | CHRISTOPHER KUAN WANG M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/23/2017
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Last Update Date | 12/26/2024
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Provider Practice Location Address
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Address Line | 30 S CAYUGA RD
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-6728
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Country | US
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Telephone | 716-632-1088
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Fax |
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Provider Business Mailing Address
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Address Line | 350 N ERVAY ST APT 1706
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City | DALLAS
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State | TX
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Zip | 75201-3911
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Country | US
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Telephone |
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MED-PHYS-COM-LIC-132
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License Number State | MT
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD61153830
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | T9277
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 297260
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License Number State | NY
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