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General NPI Number Information
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NPI Number | 1043478175
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Entity Type | Individual
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Provider Name | CHEOK KUAN WONG MD
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Gender | Female
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Dates
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Enumeration Date | 05/27/2008
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Last Update Date | 05/27/2008
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Provider Practice Location Address
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Address Line | 450 CLARKSON AVE ANESTHESIA DEPARTMENT BOX 6 SUNY DOWNSTATE MEDICAL CENT
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City | BROOKLYN
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State | NY
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Zip | 11203
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Country | US
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Telephone | 718-270-1910
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Fax |
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Provider Business Mailing Address
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Address Line | 601 11TH ST APT 2
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City | BROOKLYN
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State | NY
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Zip | 11215-5202
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Country | US
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Telephone | 631-418-7555
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 239693
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License Number State | NY
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