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General NPI Number Information
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NPI Number | 1477545721
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Entity Type | Individual
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Provider Name | WENCHIANG HAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/22/2005
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Last Update Date | 07/21/2008
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Provider Practice Location Address
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Address Line | 414 G ST SUITE 112
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City | MARYSVILLE
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State | CA
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Zip | 95901-5663
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Country | US
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Telephone | 530-749-8801
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Fax | 530-749-8809
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Provider Business Mailing Address
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Address Line | 414 G ST SUITE 112
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City | MARYSVILLE
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State | CA
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Zip | 95901-5663
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Country | US
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Telephone | 530-749-8801
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Fax | 530-749-8809
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | A73066
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License Number State | CA
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