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General NPI Number Information
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NPI Number | 1104421700
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Entity Type | Individual
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Provider Name | CECILIA WONG PHARMD
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Gender | Female
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Dates
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Enumeration Date | 12/01/2020
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Last Update Date | 02/01/2024
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Provider Practice Location Address
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Address Line | 561 US HIGHWAY 1 UNIT 101
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City | EDISON
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State | NJ
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Zip | 08817-4400
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Country | US
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Telephone | 908-858-3672
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Fax |
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Provider Business Mailing Address
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Address Line | 2147 HAMILTON AVE
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City | TRENTON
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State | NJ
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Zip | 08619-3610
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Country | US
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Telephone |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 28RI03962500
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License Number State | NJ
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