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General NPI Number Information
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NPI Number | 1699119446
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Entity Type | Individual
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Provider Name | CYNTHIA KWONG M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/23/2013
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Last Update Date | 06/28/2019
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Provider Practice Location Address
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Address Line | 6124 W PARKER RD STE 436
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City | PLANO
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State | TX
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Zip | 75093-8125
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Country | US
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Telephone | 972-608-3356
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Fax | 972-608-3360
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Provider Business Mailing Address
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Address Line | 6124 W PARKER RD STE 436
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City | PLANO
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State | TX
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Zip | 75093-8125
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Country | US
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Telephone | 972-608-3356
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Fax | 972-608-3360
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | S2380
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License Number State | TX
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