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General NPI Number Information
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NPI Number | 1124572912
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Entity Type | Individual
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Provider Name | WING YIN MAGGIE LEUNG DDS
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Gender | Female
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Dates
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Enumeration Date | 08/09/2016
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 170 MAIN STREET UNITS 109-110
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City | LODI
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State | NJ
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Zip | 07644
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Country | US
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Telephone | 201-397-1420
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Fax | 201-957-0766
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Provider Business Mailing Address
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Address Line | 170 MAIN STREET UNITS 109-110
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City | LODI
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State | NJ
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Zip | 07644
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Country | US
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Telephone | 201-397-1420
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Fax | 201-957-0766
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 22DI02773204
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License Number State | NJ
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