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General NPI Number Information
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NPI Number | 1679953269
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Entity Type | Individual
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Provider Name | HUI WANG AP, MD FROM CHINA
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Gender | Male
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Dates
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Enumeration Date | 06/09/2015
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Last Update Date | 06/09/2015
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Provider Practice Location Address
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Address Line | 500 SUN VALLEY DR SUITE B4
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City | ROSWELL
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State | GA
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Zip | 30076-1482
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Country | US
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Telephone | 470-299-8657
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Fax | 470-299-8416
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Provider Business Mailing Address
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Address Line | 500 SUN VALLEY DR SUITE B4
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City | ROSWELL
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State | GA
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Zip | 30076-1482
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Country | US
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Telephone | 470-299-8657
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Fax | 470-299-8416
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 365
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License Number State | GA
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