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General NPI Number Information
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NPI Number | 1619037405
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Entity Type | Individual
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Provider Name | WAN-LIN HORNG M.D.
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Gender | Female
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 05/06/2019
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Provider Practice Location Address
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Address Line | 20325 N 51ST AVE STE 102
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City | GLENDALE
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State | AZ
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Zip | 85308-5665
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Country | US
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Telephone | 602-253-4271
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Fax | 602-253-4273
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Provider Business Mailing Address
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Address Line | 20325 N 51ST AVE STE 102
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City | GLENDALE
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State | AZ
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Zip | 85308-5665
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Country | US
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Telephone | 602-253-4271
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Fax | 602-253-4273
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 04-32360
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 57515
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License Number State | AZ
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