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General NPI Number Information
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NPI Number | 1962628842
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Entity Type | Individual
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Provider Name | XIAO YUN WANG M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 02/16/2009
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Provider Practice Location Address
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Address Line | 601 E 15TH ST DEPARTMENT OF PATHOLOGY
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City | AUSTIN
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State | TX
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Zip | 78701-1930
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Country | US
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Telephone | 512-324-7516
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Fax | 512-324-7536
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Provider Business Mailing Address
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Address Line | PO BOX 164106
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City | AUSTIN
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State | TX
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Zip | 78716-4106
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Country | US
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Telephone | 512-324-7516
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Fax | 512-324-7536
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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 | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 32299
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License Number State | KS
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