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General NPI Number Information
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NPI Number | 1699097824
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Entity Type | Organization
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Legal Business Name | WON G. SONG, M.D., INC.
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Dates
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Enumeration Date | 02/15/2010
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Last Update Date | 02/15/2010
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Provider Practice Location Address
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Address Line | 1430 S HIGH ST
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City | COLUMBUS
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State | OH
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Zip | 43207-1045
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Country | US
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Telephone | 614-443-0583
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Fax | 614-443-2825
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Provider Business Mailing Address
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Address Line | 1430 S HIGH ST
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City | COLUMBUS
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State | OH
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Zip | 43207-1045
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Country | US
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Telephone | 614-443-0583
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Fax | 614-443-2825
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WON GEEL SONG
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Credential | M.D.
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Telephone | 614-443-0583
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 35 040064
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License Number State | OH
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