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General NPI Number Information
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NPI Number | 1326457847
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Entity Type | Individual
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Provider Name | QI WANG D.D.S
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Gender | Female
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Dates
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Enumeration Date | 08/08/2014
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Last Update Date | 02/05/2018
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Provider Practice Location Address
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Address Line | 508 CABOT PL
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City | NASHVILLE
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State | TN
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Zip | 37221-3007
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Country | US
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Telephone | 402-315-8802
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Fax |
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Provider Business Mailing Address
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Address Line | 508 CABOT PL
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City | NASHVILLE
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State | TN
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Zip | 37221-3007
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Country | US
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Telephone | 402-315-8802
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 6548
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 10655
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License Number State | TN
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