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General NPI Number Information
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NPI Number | 1871318097
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Entity Type | Individual
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Provider Name | MR. WEI WANG
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Gender | Male
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Dates
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Enumeration Date | 11/21/2024
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Last Update Date | 11/21/2024
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Provider Practice Location Address
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Address Line | 12811 8TH AVE W
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City | EVERETT
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State | WA
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Zip | 98204-6335
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Country | US
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Telephone | 425-908-9245
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Fax |
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Provider Business Mailing Address
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Address Line | 15933 23RD LN SE
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City | MILL CREEK
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State | WA
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Zip | 98012-5835
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Country | US
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Telephone | 425-908-9245
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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 | AC19795
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License Number State | CA
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