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1730230541 NPI number — STEVE GEE-FONG WANG D.M.D.

NPI Number: 1730230541
Health Care Provider/Practitioner: STEVE GEE-FONG WANG D.M.D.

Information about “1730230541” NPI (STEVE GEE-FONG WANG D.M.D.) exists in 1730230541 in HTML format HTML  |  1730230541 in plain Text format TXT  |  1730230541 in PDF (Portable Document Format) PDF  |  1730230541 in an XML format XML  formats.

NPI Number : 1730230541 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1730230541",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WANG",
    "FirstName": "STEVE",
    "MiddleName": "GEE-FONG",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "D.M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "575 AVE K S.E.",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WINTER HAVEN",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33880-3045",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "863-875-4395",
    "MailingAddressFaxNumber": "954-452-1895",
    "FirstLinePracticeLocationAddress": "575 AVENUE K SE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WINTER HAVEN",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33880-4215",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "863-875-4395",
    "PracticeLocationAddressFaxNumber": "954-452-1895",
    "EnumerationDate": "01/16/2007",
    "LastUpdateDate": "03/04/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "1223G0001X",
          "TaxonomyName": "General Practice Dentistry",
          "LicenseNumber": "14393",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1223G0001X",
          "TaxonomyName": "General Practice Dentistry",
          "LicenseNumber": "DN 0014393",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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