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General NPI Number Information
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NPI Number | 1366753006
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Entity Type | Individual
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Provider Name | YING WANG PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 06/28/2010
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Last Update Date | 07/28/2010
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Provider Practice Location Address
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Address Line | 4448 YORK BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90041-3328
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Country | US
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Telephone | 323-344-5238
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Fax |
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Provider Business Mailing Address
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Address Line | 115 E BROADWAY #L203
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City | SAN GABRIEL
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State | CA
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Zip | 91776-1890
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Country | US
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Telephone | 805-636-9381
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 58615
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License Number State | CA
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