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General NPI Number Information
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NPI Number | 1427910447
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Entity Type | Organization
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Legal Business Name | WOODSIDE ASC LLC
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Dates
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Enumeration Date | 11/28/2025
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Last Update Date | 11/28/2025
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Provider Practice Location Address
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Address Line | 69-28 QUEENS BOULEVARD
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City | WOODSIDE
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State | NY
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Zip | 11377
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Country | US
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Telephone | 718-309-8675
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Fax | 718-400-8515
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Provider Business Mailing Address
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Address Line | 531 MAIN ST APT 715
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City | NEW YORK
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State | NY
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Zip | 10044
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Country | US
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Telephone | 646-286-6921
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Fax | 718-400-8515
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. CHUAN SHENG WANG
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Credential | M.D
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Telephone | 646-286-6921
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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