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General NPI Number Information
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NPI Number | 1740787878
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Entity Type | Individual
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Provider Name | TERRENCE YUM-YEU WONG MD
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Gender | Male
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Dates
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Enumeration Date | 04/05/2018
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Last Update Date | 05/17/2025
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Provider Practice Location Address
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Address Line | 1609 HOSPITAL PKWY
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City | BEDFORD
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State | TX
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Zip | 76022-6920
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Country | US
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Telephone | 817-359-9000
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Fax |
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Provider Business Mailing Address
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Address Line | 1609 HOSPITAL PKWY
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City | BEDFORD
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State | TX
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Zip | 76022-6920
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Country | US
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Telephone |
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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 | 207VX0201X
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Taxonomy Name | Gynecologic Oncology Physician
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License Number | 4301507282
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207VX0201X
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Taxonomy Name | Gynecologic Oncology Physician
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License Number | T5700
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License Number State | TX
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