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General NPI Number Information
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NPI Number | 1588867287
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Entity Type | Individual
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Provider Name | JULIELYNN WONG MD, MPH, FACPM
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Gender | Female
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Dates
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Enumeration Date | 06/08/2007
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Last Update Date | 02/02/2023
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Provider Practice Location Address
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Address Line | 250 RAINBOW BLVD APT 102
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City | NIAGARA FALLS
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State | NY
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Zip | 14303-1224
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Country | US
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Telephone | 716-550-6361
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Fax |
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Provider Business Mailing Address
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Address Line | 250 RAINBOW BLVD APT 102
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City | NIAGARA FALLS
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State | NY
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Zip | 14303-1224
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Country | US
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Telephone | 716-550-6361
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Fax | 716-214-3004
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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 | 2083C0008X
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Taxonomy Name | Clinical Informatics Physician
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License Number | 263890-01
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 263890-01
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 263890
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number | 263890-01
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number | 263890-01
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License Number State | NY
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Taxonomy #6
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Taxonomy Code | 2083A0100X
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Taxonomy Name | Aerospace Medicine Physician
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License Number | 263890-01
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License Number State | NY
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