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General NPI Number Information
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NPI Number | 1417159062
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Entity Type | Individual
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Provider Name | NORMAN WANG DDS
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Gender | Male
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Dates
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Enumeration Date | 06/05/2007
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Last Update Date | 01/21/2021
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Provider Practice Location Address
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Address Line | 5703 MARTIN LUTHER KING BLD
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City | HOUSTON
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State | TX
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Zip | 77021
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Country | US
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Telephone | 713-644-1532
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Fax |
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Provider Business Mailing Address
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Address Line | 6805 MAIN ST STE 150
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City | THE COLONY
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State | TX
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Zip | 75056-1132
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Country | US
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Telephone | 214-469-2622
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Fax | 214-469-2628
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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 | 019.027277
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 23855
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License Number State | TX
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