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General NPI Number Information
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NPI Number | 1457879421
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Entity Type | Individual
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Provider Name | ABIGAIL YICHEN WANG
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Gender | Female
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Dates
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Enumeration Date | 08/30/2017
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Last Update Date | 06/25/2025
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Provider Practice Location Address
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Address Line | 5725 FORWARD AVE STE 401
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City | PITTSBURGH
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State | PA
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Zip | 15217-2255
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Country | US
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Telephone | 412-214-0042
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Fax | 412-385-2468
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Provider Business Mailing Address
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Address Line | 1215 LEE ST MAILBOX 801210
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22908-4494
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Country | US
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Telephone | 434-924-5314
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Fax | 434-243-4743
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD490179
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License Number State | PA
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