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General NPI Number Information
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NPI Number | 1669450219
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Entity Type | Individual
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Provider Name | ROBERT C WANG M.D., F.A.C.S.
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Gender | Male
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Dates
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Enumeration Date | 01/04/2006
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Last Update Date | 02/06/2025
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Provider Practice Location Address
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Address Line | 5320 S RAINBOW BLVD STE 250
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City | LAS VEGAS
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State | NV
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Zip | 89118-1807
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Country | US
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Telephone | 702-671-6480
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Fax | 702-671-6481
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Provider Business Mailing Address
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Address Line | 3016 W CHARLESTON BLVD STE 100
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City | LAS VEGAS
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State | NV
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Zip | 89102-1973
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Country | US
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Telephone | 702-780-2315
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Fax | 702-895-4014
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 8396
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License Number State | NV
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