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General NPI Number Information
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NPI Number | 1255321410
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Entity Type | Organization
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Legal Business Name | BERNARD C ONG MD PC
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Dates
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Enumeration Date | 10/27/2005
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Last Update Date | 02/06/2013
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Provider Practice Location Address
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Address Line | 8551 W LAKE MEAD BLVD SUITE 251
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City | LAS VEGAS
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State | NV
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Zip | 89128-7642
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Country | US
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Telephone | 702-796-7979
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Fax | 702-456-7979
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Provider Business Mailing Address
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Address Line | 10300 W CHARLESTON BLVD #13-141
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City | LAS VEGAS
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State | NV
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Zip | 89135-1037
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Country | US
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Telephone | 702-796-7979
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Fax | 702-456-7979
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Authorized Official
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Title or Position | MD
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Name | DR. BERNARD CHUA ONG
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Credential | MD
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Telephone | 702-796-7979
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 10098
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License Number State | NV
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