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General NPI Number Information
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NPI Number | 1891224465
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Entity Type | Individual
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Provider Name | XIUPING WANG DMD
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Gender | Female
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Dates
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Enumeration Date | 06/07/2017
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Last Update Date | 08/30/2023
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Provider Practice Location Address
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Address Line | 332 VICTORY RD STE 3A
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City | QUINCY
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State | MA
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Zip | 02171-3120
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Country | US
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Telephone | 617-953-2289
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Fax |
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Provider Business Mailing Address
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Address Line | 22 MAPLE TER
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City | WEST ROXBURY
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State | MA
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Zip | 02132-1832
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Country | US
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Telephone | 617-953-2289
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN1857575
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | DN1857575
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License Number State | MA
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