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General NPI Number Information
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NPI Number | 1881795052
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Entity Type | Individual
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Provider Name | CHING C. WANG M.D.
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Gender | Female
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Dates
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Enumeration Date | 09/26/2006
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Last Update Date | 11/06/2023
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Provider Practice Location Address
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Address Line | 10208 QUAKER AVE STE 200
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City | LUBBOCK
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State | TX
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Zip | 79424-8394
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Country | US
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Telephone | 806-795-4500
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Fax | 806-516-5400
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Provider Business Mailing Address
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Address Line | 4515 MARSHA SHARP FWY
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City | LUBBOCK
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State | TX
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Zip | 79407-2520
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Country | US
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Telephone | 806-744-7223
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Fax | 806-740-3325
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | U6827
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 30864
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License Number State | AZ
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