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General NPI Number Information
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NPI Number | 1497748008
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Entity Type | Individual
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Provider Name | KER-SHI WANG M.D., PH.D.
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Gender | Male
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Dates
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Enumeration Date | 08/30/2005
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Last Update Date | 01/14/2022
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Provider Practice Location Address
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Address Line | 1310 SOUTHERN AVE SE
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City | WASHINGTON
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State | DC
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Zip | 20032-4623
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Country | US
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Telephone | 202-574-6851
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Fax | 202-279-7370
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Provider Business Mailing Address
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Address Line | PO BOX 784305
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City | PHILADELPHIA
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State | PA
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Zip | 19178-4305
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Country | US
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Telephone | 844-565-6473
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Fax | 302-733-0854
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD046604L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | D0039769
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | MD046604L
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD042715
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License Number State | DC
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