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General NPI Number Information
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NPI Number | 1427292705
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Entity Type | Individual
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Provider Name | DANIEL STEVEN GAN ONG
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Gender | Male
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Dates
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Enumeration Date | 04/30/2009
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Last Update Date | 04/26/2023
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Provider Practice Location Address
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Address Line | 5308 N GALLOWAY AVE STE 201
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City | MESQUITE
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State | TX
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Zip | 75150-1125
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Country | US
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Telephone | 469-800-3200
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Fax | 469-800-3210
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Provider Business Mailing Address
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Address Line | 6705 HERITAGE PKWY STE 202
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City | ROCKWALL
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State | TX
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Zip | 75087-8727
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Country | US
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Telephone | 469-800-3200
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Fax | 469-800-3210
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A136083
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | R2192
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | R2192
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License Number State | TX
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