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General NPI Number Information
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NPI Number | 1619164753
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Entity Type | Organization
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Legal Business Name | WELLNESS & CARE MEDICAL, INC.
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Dates
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Enumeration Date | 10/03/2007
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Last Update Date | 12/06/2008
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Provider Practice Location Address
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Address Line | 1661 HANOVER RD #201
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City | CITY OF INDUSTRY
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State | CA
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Zip | 91748-1733
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Country | US
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Telephone | 626-965-4628
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Fax | 626-965-4625
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Provider Business Mailing Address
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Address Line | 1661 HANOVER RD #201
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City | CITY OF INDUSTRY
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State | CA
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Zip | 91748-1733
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Country | US
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Telephone | 626-965-4628
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Fax | 626-965-4625
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Authorized Official
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Title or Position | CEO
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Name | DR. YI WANG
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Credential | M.D.
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Telephone | 626-965-4628
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number | A98547
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License Number State | CA
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