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General NPI Number Information
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NPI Number | 1841092590
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Entity Type | Individual
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Provider Name | CECILIA WANG
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Gender | Female
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Dates
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Enumeration Date | 03/25/2025
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Last Update Date | 03/25/2025
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Provider Practice Location Address
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Address Line | 2823 FRESNO ST
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City | FRESNO
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State | CA
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Zip | 93721-1324
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Country | US
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Telephone | 559-459-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 770 S GRAND AVE APT 4011
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City | LOS ANGELES
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State | CA
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Zip | 90017-3942
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Country | US
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Telephone | 760-889-2448
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 95201699
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License Number State | CA
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