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General NPI Number Information
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NPI Number | 1578603338
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Entity Type | Individual
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Provider Name | WENDY WANG M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/08/2007
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Last Update Date | 02/19/2026
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Provider Practice Location Address
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Address Line | 403 STONY LANDING RD
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City | MONCKS CORNER
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State | SC
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Zip | 29461-3967
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Country | US
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Telephone | 803-318-5340
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Fax |
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Provider Business Mailing Address
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Address Line | 1957 BOXELDER TRL
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City | RIDGEWAY
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State | SC
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Zip | 29130-9267
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Country | US
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Telephone | 803-318-5340
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD35578
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 235726
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License Number State | NY
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