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General NPI Number Information
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NPI Number | 1457652968
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Entity Type | Organization
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Legal Business Name | CHI-KWONG NG, M.D.P.A.
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Dates
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Enumeration Date | 11/15/2010
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Last Update Date | 12/08/2010
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Provider Practice Location Address
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Address Line | 905 N CITRUS AVE
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City | CRYSTAL RIVER
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State | FL
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Zip | 34428-3422
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Country | US
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Telephone | 352-563-5767
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Fax | 352-563-5705
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Provider Business Mailing Address
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Address Line | 905 N CITRUS AVE
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City | CRYSTAL RIVER
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State | FL
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Zip | 34428-3422
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Country | US
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Telephone | 352-563-5767
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Fax | 352-563-5705
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CHI-KWONG NG
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Credential |
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Telephone | 352-563-5767
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | ME0068881
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License Number State | FL
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