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General NPI Number Information
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NPI Number | 1982138335
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Entity Type | Organization
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Legal Business Name | SMARTBRIDGE INC
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Dates
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Enumeration Date | 04/12/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1301 M ST NW SUITE 818
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City | WASHINGTON
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State | DC
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Zip | 20005-4201
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Country | US
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Telephone | 917-721-3644
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Fax |
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Provider Business Mailing Address
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Address Line | 1301 M STREET NW, SUITE 818
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City | WASHINGTON
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State | DC
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Zip | 20005
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Country | US
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Telephone | 917-721-3644
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. HUA WANG
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Credential |
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Telephone | 917-721-3644
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number |
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License Number State | DC
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