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General NPI Number Information
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NPI Number | 1174103782
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Entity Type | Organization
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Legal Business Name | THOMAS J. HONG, DO, PLLC
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Dates
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Enumeration Date | 04/09/2021
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Last Update Date | 08/26/2021
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Provider Practice Location Address
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Address Line | 2800 E BROAD ST STE 316
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City | MANSFIELD
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State | TX
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Zip | 76063-6409
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Country | US
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Telephone | 817-313-6313
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Fax | 833-637-1623
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Provider Business Mailing Address
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Address Line | 835 E LAMAR BLVD # 341
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City | ARLINGTON
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State | TX
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Zip | 76011-3504
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Country | US
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Telephone | 817-313-6313
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Fax | 833-637-1623
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Authorized Official
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Title or Position | PHYSICIAN
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Name | THOMAS HONG
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Credential |
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Telephone | 214-208-0216
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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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Taxonomy #2
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State |
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