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General NPI Number Information
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NPI Number | 1730747601
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Entity Type | Individual
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Provider Name | LINDA FAN WANG MD
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Gender | Female
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Dates
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Enumeration Date | 06/05/2019
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Last Update Date | 08/27/2025
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Provider Practice Location Address
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Address Line | 3927 RUCKER AVE
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City | EVERETT
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State | WA
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Zip | 98201-4833
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Country | US
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Telephone | 425-339-5421
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Fax | 425-257-1408
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Provider Business Mailing Address
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Address Line | PO BOX 5127
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City | EVERETT
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State | WA
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Zip | 98206-5127
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Country | US
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Telephone | 206-860-5414
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Fax | 206-720-8462
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | MT225086
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 280485
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | MD61657474
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License Number State | WA
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