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General NPI Number Information
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NPI Number | 1780548420
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Entity Type | Individual
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Provider Name | BIN WANG
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Gender | Male
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Dates
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Enumeration Date | 12/15/2025
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 34 N PEARL ST # MA
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City | BROCKTON
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State | MA
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Zip | 02301-1708
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Country | US
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Telephone | 508-408-9200
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Fax |
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Provider Business Mailing Address
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Address Line | 161 WASHINGTON ST APT 1513
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City | BRIGHTON
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State | MA
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Zip | 02135-3524
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Country | US
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Telephone | 858-539-5935
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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