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General NPI Number Information
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NPI Number | 1073450227
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Entity Type | Organization
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Legal Business Name | THE PAIN EXPERTS OF MARYLAND LLC
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Dates
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Enumeration Date | 05/04/2026
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Last Update Date | 05/04/2026
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Provider Practice Location Address
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Address Line | 1003 LIMEKILN CT
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City | BALTIMORE
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State | MD
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Zip | 21286-2107
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Country | US
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Telephone | 908-432-4519
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Fax |
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Provider Business Mailing Address
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Address Line | 1003 LIMEKILN CT
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City | BALTIMORE
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State | MD
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Zip | 21286-2107
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Country | US
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Telephone | 908-432-4519
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. MICHAEL JUOR-CHIANG WONG
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Credential | MD
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Telephone | 908-432-4519
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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