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General NPI Number Information
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NPI Number | 1083990980
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Entity Type | Individual
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Provider Name | CINDY S WONG PHARM. D.
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Gender | Female
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Dates
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Enumeration Date | 10/24/2011
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Last Update Date | 04/14/2017
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Provider Practice Location Address
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Address Line | 38995 SKY CANYON DR
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City | MURRIETA
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State | CA
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Zip | 92563-2617
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Country | US
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Telephone | 951-677-6375
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Fax | 951-677-6982
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Provider Business Mailing Address
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Address Line | 8218 SUNSET ROSE DR
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City | CORONA
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State | CA
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Zip | 92883-7317
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Country | US
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Telephone | 626-215-1126
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Fax | 951-286-4931
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 52700
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License Number State | CA
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