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General NPI Number Information
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NPI Number | 1871664524
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Entity Type | Individual
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Provider Name | LING WANG
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Gender | Female
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 475 EL CAMINO REAL SUITE 418
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City | MILLBRAE
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State | CA
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Zip | 94030-2643
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Country | US
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Telephone | 650-692-1886
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Fax | 650-692-1886
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Provider Business Mailing Address
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Address Line | 475 EL CAMINO REAL SUITE 418
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City | MILLBRAE
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State | CA
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Zip | 94030-3643
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Country | US
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Telephone | 650-692-1886
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Fax | 650-692-1886
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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 | AC9226
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License Number State | CA
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