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General NPI Number Information
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NPI Number | 1588380075
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Entity Type | Organization
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Legal Business Name | WENDY WANG M D INC
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Dates
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Enumeration Date | 10/17/2022
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Last Update Date | 03/21/2023
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Provider Practice Location Address
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Address Line | 223 N GARFIELD AVE STE 200
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City | MONTEREY PARK
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State | CA
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Zip | 91754-1700
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Country | US
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Telephone | 626-893-3087
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Fax |
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Provider Business Mailing Address
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Address Line | 604 ESTRELLA AVE
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City | ARCADIA
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State | CA
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Zip | 91007-8116
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Country | US
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Telephone | 626-893-3087
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. CHENGWEI WANG
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Credential |
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Telephone | 626-893-3087
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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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 | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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