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General NPI Number Information
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NPI Number | 1891748711
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Entity Type | Individual
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Provider Name | WEI GAO MD
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Gender | Male
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Dates
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Enumeration Date | 05/19/2006
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Last Update Date | 07/08/2022
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Provider Practice Location Address
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Address Line | 912 WRIGHT ST STE D
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City | ARLINGTON
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State | TX
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Zip | 76012-4759
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Country | US
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Telephone | 817-864-8855
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Fax | 862-720-8727
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Provider Business Mailing Address
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Address Line | PO BOX 168362
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City | IRVING
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State | TX
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Zip | 75016-8362
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Country | US
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Telephone | 469-939-7120
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Fax | 682-720-8727
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | L0191
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License Number State | TX
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