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General NPI Number Information
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NPI Number | 1649479585
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Entity Type | Individual
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Provider Name | TIMOTHY CHUNG-TIN WONG M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/11/2007
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Last Update Date | 03/30/2017
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Provider Practice Location Address
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Address Line | 300 HALKET ST SUITE 5102
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City | PITTSBURGH
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State | PA
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Zip | 15213-3108
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Country | US
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Telephone | 412-641-8870
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Fax | 412-641-8880
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Provider Business Mailing Address
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Address Line | 200 LOTHROP ST SCAIFE HALL S-569
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City | PITTSBURGH
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State | PA
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Zip | 15213-2536
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Country | US
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Telephone | 412-648-9286
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Fax | 412-648-5991
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | MD437113
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License Number State | PA
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