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General NPI Number Information
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NPI Number | 1780211755
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Entity Type | Individual
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Provider Name | SHUHAN WANG MD, MBA
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Gender | Female
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Dates
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Enumeration Date | 03/26/2020
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 281 BROADWAY
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City | NEW YORK
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State | NY
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Zip | 10007-2019
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Country | US
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Telephone | 646-596-7386
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Fax |
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Provider Business Mailing Address
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Address Line | 147 NEW BROADWAY
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City | SLEEPY HOLLOW
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State | NY
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Zip | 10591-1721
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Country | US
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Telephone | 347-972-4078
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | ME176612
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 25MA12226000
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 331718
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License Number State | NY
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