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General NPI Number Information
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NPI Number | 1811540347
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Entity Type | Individual
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Provider Name | YING WANG DO
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Gender | Female
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Dates
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Enumeration Date | 07/23/2019
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Last Update Date | 07/23/2019
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Provider Practice Location Address
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Address Line | 1516 S OSTEOPATHY AVE APT 3
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City | KIRKSVILLE
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State | MO
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Zip | 63501-1739
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Country | US
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Telephone | 412-760-4933
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Fax |
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Provider Business Mailing Address
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Address Line | 1516 S OSTEOPATHY AVE APT 3
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City | KIRKSVILLE
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State | MO
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Zip | 63501-1739
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Country | US
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Telephone |
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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 | 204D00000X
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Taxonomy Name | Neuromusculoskeletal Medicine & OMM Physician
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License Number | 2019026947
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License Number State | MO
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