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General NPI Number Information
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NPI Number | 1962734798
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Entity Type | Individual
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Provider Name | WINNIE PANG M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/03/2010
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Last Update Date | 04/10/2018
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Provider Practice Location Address
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Address Line | 500 N GARFIELD AVE STE 102
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City | MONTEREY PARK
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State | CA
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Zip | 91754-1242
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Country | US
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Telephone | 626-571-1176
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Fax | 903-650-8170
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Provider Business Mailing Address
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Address Line | PO BOX 1286
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City | ALHAMBRA
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State | CA
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Zip | 91802-1286
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Country | US
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Telephone |
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A110999
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | A110999
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License Number State | CA
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