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General NPI Number Information
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NPI Number | 1730919440
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Entity Type | Organization
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Legal Business Name | RYAN WANG DO
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Dates
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Enumeration Date | 08/06/2024
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Last Update Date | 08/06/2024
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Provider Practice Location Address
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Address Line | 20 E HUNTINGTON DR
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City | ARCADIA
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State | CA
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Zip | 91006-3209
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Country | US
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Telephone | 626-447-8000
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Fax | 626-447-8002
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Provider Business Mailing Address
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Address Line | 20 E HUNTINGTON DR APT 5316
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City | ARCADIA
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State | CA
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Zip | 91006-3209
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Country | US
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Telephone | 626-421-2144
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Fax |
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Authorized Official
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Title or Position | INTERNAL MEDICINE PHYSICIAN
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Name | RYAN WANG
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Credential | DO
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Telephone | 626-421-2144
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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