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General NPI Number Information
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NPI Number | 1346159746
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Entity Type | Individual
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Provider Name | SHANNON WONG OTD,OTR/L
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Gender | Female
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Dates
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Enumeration Date | 09/02/2026
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Last Update Date | 09/02/2026
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Provider Practice Location Address
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Address Line | 8841 GARVEY AVE STE C
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City | ROSEMEAD
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State | CA
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Zip | 91770-3358
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Country | US
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Telephone | 626-716-9882
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Fax |
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Provider Business Mailing Address
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Address Line | 554 CAMINO DE TEODORO
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City | WALNUT
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State | CA
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Zip | 91789-2108
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Country | US
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Telephone | 626-986-8570
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 29236
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License Number State | CA
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