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General NPI Number Information
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NPI Number | 1538934955
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Entity Type | Individual
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Provider Name | QIANG WANG ARNP
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Gender | Male
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Dates
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Enumeration Date | 11/15/2023
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Last Update Date | 03/25/2026
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Provider Practice Location Address
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Address Line | 35631 2ND AVE SW
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City | FEDERAL WAY
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State | WA
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Zip | 98023-7318
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Country | US
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Telephone | 614-961-2870
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Fax |
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Provider Business Mailing Address
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Address Line | 9600 VETERANS DR SW
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City | TACOMA
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State | WA
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Zip | 98493-0003
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Country | US
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Telephone | 614-961-2870
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | ARNP.AP.70017369-NP
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License Number State | WA
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