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General NPI Number Information
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NPI Number | 1497375612
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Entity Type | Individual
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Provider Name | ALFRED KA-SHING WONG M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/17/2020
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Last Update Date | 01/14/2026
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Provider Practice Location Address
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Address Line | 6340 SUGARLOAF PKWY STE 350
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City | DULUTH
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State | GA
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Zip | 30097-4348
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Country | US
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Telephone | 470-415-8324
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Fax |
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Provider Business Mailing Address
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Address Line | 2720 METROPOLITAN PKWY SW
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City | ATLANTA
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State | GA
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Zip | 30315-7914
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Country | US
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Telephone | 404-905-9200
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Fax | 404-815-4300
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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 | 95691
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License Number State | GA
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