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General NPI Number Information
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NPI Number | 1508472788
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Entity Type | Individual
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Provider Name | YUEJUN WANG AU.D
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Gender | Female
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Dates
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Enumeration Date | 09/22/2020
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Last Update Date | 05/02/2022
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Provider Practice Location Address
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Address Line | 53-59 PUBLIC SQ STE 202
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City | WATERTOWN
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State | NY
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Zip | 13601-2674
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Country | US
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Telephone | 315-786-3225
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Fax |
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Provider Business Mailing Address
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Address Line | 1005 1/2 W SULLIVAN ST
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City | OLEAN
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State | NY
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Zip | 14760-2231
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Country | US
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Telephone | 917-923-3902
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Fax |
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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 | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number |
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License Number State |
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