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General NPI Number Information
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NPI Number | 1497985667
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Entity Type | Individual
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Provider Name | JOYCE LEE WONG DDS
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Gender | Female
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Dates
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Enumeration Date | 07/21/2009
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Last Update Date | 05/28/2010
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Provider Practice Location Address
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Address Line | 2712 BEE CAVES RD SUITE 100
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City | AUSTIN
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State | TX
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Zip | 78746-5676
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Country | US
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Telephone | 512-329-9900
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Fax |
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Provider Business Mailing Address
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Address Line | 2712 BEE CAVES RD SUITE 100
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City | AUSTIN
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State | TX
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Zip | 78746-5676
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Country | US
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Telephone | 512-329-9900
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 24821
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License Number State | TX
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