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General NPI Number Information
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NPI Number | 1467544791
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Entity Type | Organization
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Legal Business Name | STELLA S. KWONG, M.D., P.A.
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2825 BELT LINE RD SUITE # 103
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City | GARLAND
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State | TX
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Zip | 75044-7011
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Country | US
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Telephone | 972-530-5550
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Fax | 972-530-3632
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Provider Business Mailing Address
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Address Line | 2825 BELT LINE RD SUITE # 103
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City | GARLAND
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State | TX
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Zip | 75044-7011
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Country | US
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Telephone | 972-530-5550
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Fax | 972-530-3632
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Authorized Official
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Title or Position | PRES, SEC, TREAS.
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Name | DR. STELLA S. KWONG
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Credential | M.D.
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Telephone | 972-530-5550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | G0748
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License Number State | TX
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