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General NPI Number Information
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NPI Number | 1821340217
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Entity Type | Individual
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Provider Name | WINSTON WANG L.AC
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Gender | Male
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Dates
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Enumeration Date | 10/09/2012
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 2050 W CHAPMAN AVE STE 102
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City | ORANGE
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State | CA
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Zip | 92868-2648
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Country | US
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Telephone | 818-923-6345
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Fax |
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Provider Business Mailing Address
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Address Line | 22052 LAKELAND AVE
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City | LAKE FOREST
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State | CA
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Zip | 92630-2433
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Country | US
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Telephone | 949-419-5677
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC14148
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License Number State | CA
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