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General NPI Number Information
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NPI Number | 1508964826
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Entity Type | Individual
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Provider Name | ROY KH WONG M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 02/01/2018
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Provider Practice Location Address
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Address Line | 8901 WISCONSIN AVE BLDG 9, GASTROENTEROLOGY SERVICE
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City | BETHESDA
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State | MD
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Zip | 20889-0003
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Country | US
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Telephone | 301-400-0539
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Fax | 301-295-5370
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Provider Business Mailing Address
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Address Line | 8801 QUIET STREAM CT
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City | POTOMAC
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State | MD
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Zip | 20854-4231
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Country | US
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Telephone | 202-782-7256
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | D0076680
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | MD11088
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License Number State | DC
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