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General NPI Number Information
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NPI Number | 1235286576
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Entity Type | Organization
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Legal Business Name | KWAN H. WON, M.D.
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Dates
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Enumeration Date | 01/05/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3810 TRINDLE ROAD
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City | CAMP HILL
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State | PA
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Zip | 17011
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Country | US
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Telephone | 717-761-8877
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Fax | 717-761-4994
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Provider Business Mailing Address
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Address Line | 3810 TRINDLE ROAD
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City | CAMP HILL
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State | PA
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Zip | 17011
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Country | US
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Telephone | 717-761-8877
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Fax | 717-761-4994
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Authorized Official
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Title or Position | OWNER
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Name | DR. KWAN H. WON
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Credential | M.D.
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Telephone | 717-761-8877
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number |
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License Number State |
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