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General NPI Number Information
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NPI Number | 1710278544
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Entity Type | Individual
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Provider Name | EILEEN CHEN WONG M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/27/2011
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 3838 N CAMPBELL AVE BLDG 2
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City | TUCSON
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State | AZ
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Zip | 85719-1454
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Country | US
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Telephone | 520-694-8888
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Fax |
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Provider Business Mailing Address
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Address Line | 1501 N CAMPBELL AVE FL 6
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City | TUCSON
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State | AZ
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Zip | 85724-0001
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Country | US
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Telephone | 520-621-0018
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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 | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 59484
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License Number State | AZ
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