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Individual
FANG EMILY DENG
Active
Individual
FANG EMILY DENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.,
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
LL35974
SC
208D00000X
General Practice Physician
Primary
60025-20
WI
Other
Enumeration date
06/28/2010
Last updated
06/21/2013
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