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General NPI Number Information
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NPI Number | 1811871486
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Entity Type | Individual
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Provider Name | DENEEN S WANG DDS
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Gender | Female
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Dates
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Enumeration Date | 08/05/2025
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 9900 LINCOLN ST 2ND FLOOR
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City | TACOMA
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State | WA
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Zip | 98431-0001
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Country | US
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Telephone | 253-968-4079
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Fax |
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Provider Business Mailing Address
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Address Line | 3911 N 25TH ST APT 524
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City | TACOMA
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State | WA
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Zip | 98406-5339
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Country | US
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Telephone | 813-943-4347
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 6001872-15
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License Number State | WI
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