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General NPI Number Information
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NPI Number | 1629845748
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Entity Type | Organization
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Legal Business Name | HW DENTAL POLARIS - HONGWEI WANG DDS LLC
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Dates
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Enumeration Date | 12/08/2023
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Last Update Date | 12/11/2023
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Provider Practice Location Address
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Address Line | 9379 S OLD STATE RD
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City | LEWIS CENTER
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State | OH
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Zip | 43035-8448
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Country | US
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Telephone | 614-888-9399
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Fax | 614-888-9412
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Provider Business Mailing Address
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Address Line | 9379 S OLD STATE RD
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City | LEWIS CENTER
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State | OH
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Zip | 43035-8448
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Country | US
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Telephone | 614-888-9399
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Fax | 614-888-9412
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Authorized Official
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Title or Position | OWNER
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Name | DR. HONGWEI WANG
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Credential |
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Telephone | 614-895-1100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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