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General NPI Number Information
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NPI Number | 1578445649
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Entity Type | Individual
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Provider Name | JAHG WONG MD
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Gender | Male
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Dates
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Enumeration Date | 07/21/2025
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Last Update Date | 07/21/2025
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Provider Practice Location Address
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Address Line | 1515 HOLCOMBE BLVD UNIT B4.4618
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City | HOUSTON
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State | TX
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Zip | 77030-4000
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Country | US
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Telephone | 438-870-9788
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Fax |
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Provider Business Mailing Address
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Address Line | 3833 DUNLAVY ST APT 106
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City | HOUSTON
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State | TX
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Zip | 77006-4744
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Country | US
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Telephone | 438-870-9788
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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 | 207ZH0000X
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Taxonomy Name | Hematology (Pathology) Physician
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License Number | BP10095332
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License Number State | TX
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