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NPI 1124986963

NPI 1124986963 : WEI PING WONG RD, LD : ATLANTA, GA

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General NPI Number Information
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    NPI Number           |    1124986963
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    Entity Type          |    Individual 
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    Provider Name        |    WEI PING WONG RD, LD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/12/2026
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    Last Update Date     |    01/12/2026
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Provider Practice Location Address
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    Address Line         |    3673 CHATTAHOOCHEE SUMMIT DR SE 
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    City                 |    ATLANTA
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    State                |    GA
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    Zip                  |    30339-3289
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    Country              |    US
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    Telephone            |    718-577-7846
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3673 CHATTAHOOCHEE SUMMIT DR SE 
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    City                 |    ATLANTA
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    State                |    GA
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    Zip                  |    30339-3289
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    Country              |    US
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    Telephone            |    718-577-7846
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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        |    133V00000X
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    Taxonomy Name        |    Registered Dietitian
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    License Number       |    LD003744
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    License Number State |    GA
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