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General NPI Number Information
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NPI Number | 1285818468
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Entity Type | Individual
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Provider Name | CHUM-HUNG WONG RPH
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Gender | Male
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Dates
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Enumeration Date | 12/24/2007
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Last Update Date | 01/24/2020
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Provider Practice Location Address
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Address Line | 1836 HYLAN BLVD SUITE B
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City | STATEN ISLAND
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State | NY
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Zip | 10305-5020
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Country | US
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Telephone | 917-565-8666
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Fax | 917-565-8685
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Provider Business Mailing Address
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Address Line | 38 SURREY LN
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City | TENAFLY
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State | NJ
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Zip | 07670-2516
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Country | US
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Telephone | 347-351-3599
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 047103
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License Number State | NY
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