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General NPI Number Information
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NPI Number | 1689278343
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Entity Type | Individual
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Provider Name | MIN WANG
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Gender | Female
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Dates
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Enumeration Date | 11/24/2020
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Last Update Date | 09/24/2021
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Provider Practice Location Address
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Address Line | 475 WHITE PLAINS RD STE 22
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City | EASTCHESTER
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State | NY
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Zip | 10709-5537
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Country | US
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Telephone | 845-490-4466
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Fax |
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Provider Business Mailing Address
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Address Line | 44 FLEETWOOD AVE APT 6E
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City | MOUNT VERNON
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State | NY
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Zip | 10552-2813
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Country | US
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Telephone | 914-327-6422
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Fax |
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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 | 006808
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License Number State | NY
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