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General NPI Number Information
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NPI Number | 1306800727
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Entity Type | Individual
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Provider Name | PHILIP WONG WONG MD
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Gender | Male
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Dates
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Enumeration Date | 04/13/2006
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Last Update Date | 04/27/2018
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Provider Practice Location Address
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Address Line | 4325 SUN N LAKE BLVD STE 102
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City | SEBRING
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State | FL
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Zip | 33872-2171
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Country | US
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Telephone | 863-382-1663
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Fax | 863-386-0162
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Provider Business Mailing Address
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Address Line | 4325 SUN N LAKE BLVD STE 102
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City | SEBRING
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State | FL
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Zip | 33872-2171
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Country | US
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Telephone | 863-382-1663
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Fax | 863-386-0162
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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 | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 10496
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License Number State | ND
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | M6468
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 17471
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License Number State | MS
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Taxonomy #4
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 238898
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | C52602
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License Number State | CA
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Taxonomy #6
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 11841
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License Number State | NV
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Taxonomy #7
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | ME99701
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License Number State | FL
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