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General NPI Number Information
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NPI Number | 1962769497
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Entity Type | Individual
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Provider Name | ZHONG WANG MD
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Gender | Male
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Dates
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Enumeration Date | 04/22/2012
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Last Update Date | 10/10/2024
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Provider Practice Location Address
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Address Line | 1801 COLORADO AVE STE 250
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City | TURLOCK
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State | CA
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Zip | 95382
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Country | US
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Telephone | 209-647-3950
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Fax | 209-632-3021
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Provider Business Mailing Address
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Address Line | 1801 COLORADO AVE STE 250
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City | TURLOCK
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State | CA
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Zip | 95382-2710
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Country | US
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Telephone | 209-647-3950
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Fax | 209-632-3021
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | A121787
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery Physician
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License Number | 036130571
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License Number State | IL
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