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General NPI Number Information
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NPI Number | 1780616680
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Entity Type | Individual
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Provider Name | ANDREA SUSAN WANG MD
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Gender | Female
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Dates
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Enumeration Date | 07/07/2006
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 715 L ST STE 300
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City | ANCHORAGE
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State | AK
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Zip | 99501-3359
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Country | US
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Telephone | 907-243-0133
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 91058
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City | ANCHORAGE
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State | AK
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Zip | 99509-1058
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Country | US
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Telephone | 907-243-0133
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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 | 207VF0040X
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Taxonomy Name | Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
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License Number | 6166
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License Number State | AK
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