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General NPI Number Information
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NPI Number | 1568131001
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Entity Type | Individual
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Provider Name | WYNNETH HUANG PA-C
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Gender | Female
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Dates
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Enumeration Date | 09/08/2021
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Last Update Date | 02/19/2026
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Provider Practice Location Address
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Address Line | 1231 PINE GROVE AVE STE 1A
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City | PORT HURON
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State | MI
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Zip | 48060-3500
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Country | US
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Telephone | 810-985-4300
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Fax |
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Provider Business Mailing Address
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Address Line | G3235 BEECHER RD
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City | FLINT
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State | MI
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Zip | 48532-3617
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Country | US
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Telephone |
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 5601013274
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License Number State | MI
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