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General NPI Number Information
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NPI Number | 1710948112
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Entity Type | Individual
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Provider Name | FANPING WANG M.D
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Gender | Female
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Dates
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Enumeration Date | 03/28/2006
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Last Update Date | 07/14/2016
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Provider Practice Location Address
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Address Line | 2241 WANKEL WAY STE C
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City | OXNARD
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State | CA
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Zip | 93030-0190
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Country | US
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Telephone | 805-983-0922
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Fax | 805-983-1997
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Provider Business Mailing Address
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Address Line | 2241 WANKEL WAY STE C
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City | OXNARD
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State | CA
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Zip | 93030-0190
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Country | US
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Telephone | 805-983-0922
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Fax | 805-983-1997
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | A56286
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207UN0901X
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Taxonomy Name | Nuclear Cardiology Physician
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License Number | A56286
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License Number State | CA
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