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General NPI Number Information
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NPI Number | 1013807858
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Entity Type | Individual
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Provider Name | MOLLY MAE WONG DMD
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Gender | Female
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Dates
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Enumeration Date | 07/03/2025
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Last Update Date | 07/07/2025
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Provider Practice Location Address
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Address Line | 430 WALNUT ST
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City | COLUMBIA
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State | PA
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Zip | 17512-1295
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Country | US
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Telephone | 717-356-2233
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Fax |
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Provider Business Mailing Address
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Address Line | 116 S GEORGE ST
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City | YORK
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State | PA
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Zip | 17401-1474
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Country | US
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Telephone | 717-801-4846
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Fax | 717-854-0377
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DS045259
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License Number State | PA
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