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General NPI Number Information
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NPI Number | 1588363766
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Entity Type | Individual
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Provider Name | CLAIRE YEN SHIN WANG DDS
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Gender | Female
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Dates
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Enumeration Date | 02/27/2023
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Last Update Date | 07/12/2025
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Provider Practice Location Address
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Address Line | 1670 E STATE HIGHWAY 71 STE A
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City | BASTROP
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State | TX
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Zip | 78602-2034
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Country | US
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Telephone | 512-240-6496
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Fax |
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Provider Business Mailing Address
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Address Line | 14309 LEVERING ST
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City | AUSTIN
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State | TX
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Zip | 78725-1729
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Country | US
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Telephone | 361-541-8785
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 41732
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License Number State | TX
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