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General NPI Number Information
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NPI Number | 1811190069
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Entity Type | Individual
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Provider Name | YU-CHI ANNIE WANG MD
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Gender | Female
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Dates
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Enumeration Date | 06/06/2007
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Last Update Date | 06/06/2025
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Provider Practice Location Address
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Address Line | 2821 KAVANAUGH SUITE 1C
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City | LITTLE ROCK
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State | AR
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Zip | 72205
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Country | US
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Telephone | 501-291-0366
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Fax | 501-214-5062
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Provider Business Mailing Address
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Address Line | 2119 BLACKBERRY LANE
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City | CONWAY
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State | AR
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Zip | 72034
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Country | US
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Telephone | 501-499-5824
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Fax | 501-214-5062
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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 | 2080P0205X
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Taxonomy Name | Pediatric Endocrinology Physician
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License Number | E6562
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | E6562
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License Number State | AR
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