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General NPI Number Information
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NPI Number | 1407397540
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Entity Type | Organization
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Legal Business Name | RE3 STEM CELL AND HEALING INSTITUTE PLLC
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Dates
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Enumeration Date | 03/08/2017
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 3534 FRUITVILLE RD
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City | SARASOTA
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State | FL
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Zip | 34237-9026
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Country | US
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Telephone | 941-893-2688
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Fax | 941-893-2690
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Provider Business Mailing Address
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Address Line | 3532 FRUITVILLE RD
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City | SARASOTA
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State | FL
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Zip | 34237-9026
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Country | US
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Telephone | 941-893-2688
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Fax | 941-893-2690
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Authorized Official
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Title or Position | MANAGER
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Name | HUAN WANG
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Credential | MD
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Telephone | 941-893-2688
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084A2900X
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Taxonomy Name | Neurocritical Care Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number |
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License Number State |
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