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General NPI Number Information
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NPI Number | 1659539765
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Entity Type | Organization
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Legal Business Name | ROSEMARY WANG DDS INC
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Dates
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Enumeration Date | 05/26/2008
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Last Update Date | 05/26/2008
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Provider Practice Location Address
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Address Line | 812 POLLARD RD STE 8
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City | LOS GATOS
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State | CA
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Zip | 95032-1420
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Country | US
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Telephone | 408-379-0885
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Fax | 408-379-1782
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Provider Business Mailing Address
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Address Line | 812 POLLARD RD STE 8
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City | LOS GATOS
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State | CA
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Zip | 95032-1420
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Country | US
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Telephone | 408-379-0885
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Fax | 408-379-1782
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Authorized Official
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Title or Position | DDS/OWNER
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Name | DR. ROSEMARY WEI-WEI WANG
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Credential |
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Telephone | 408-379-0885
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 284300000X
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Taxonomy Name | Special Hospital
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License Number | B38620
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License Number State | CA
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