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General NPI Number Information
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NPI Number | 1346696846
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Entity Type | Individual
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Provider Name | ZHANXIANG WANG L.AC OMD
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Gender | Male
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Dates
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Enumeration Date | 05/13/2016
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Last Update Date | 02/17/2025
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Provider Practice Location Address
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Address Line | 3033 OGDEN AVE
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City | LISLE
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State | IL
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Zip | 60532-1673
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Country | US
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Telephone | 630-364-8523
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Fax |
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Provider Business Mailing Address
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Address Line | 552 SEVILLE AVE
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City | NAPERVILLE
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State | IL
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Zip | 60565
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 198001248
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | 198001248
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License Number State | IL
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