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General NPI Number Information
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NPI Number | 1649148669
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Entity Type | Individual
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Provider Name | HANNAH MARIE WONG PTA
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Gender | Female
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Dates
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Enumeration Date | 10/29/2025
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Last Update Date | 10/29/2025
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Provider Practice Location Address
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Address Line | 300 ALLEN BRADLEY DR STE 200
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City | MAYFIELD HEIGHTS
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State | OH
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Zip | 44124-6130
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Country | US
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Telephone | 216-353-6959
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Fax |
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Provider Business Mailing Address
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Address Line | 23950 LUCILLE DR
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City | NORTH OLMSTED
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State | OH
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Zip | 44070-3753
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Country | US
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Telephone | 216-551-1333
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | PTA013127
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License Number State | OH
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