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General NPI Number Information
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NPI Number | 1780285544
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Entity Type | Individual
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Provider Name | KAREN WONG DPT
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Gender | Female
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Dates
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Enumeration Date | 11/06/2020
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Last Update Date | 11/06/2020
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Provider Practice Location Address
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Address Line | 7525 METROPOLITAN DR STE 306
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City | SAN DIEGO
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State | CA
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Zip | 92108-4404
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Country | US
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Telephone | 844-316-7979
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Fax |
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Provider Business Mailing Address
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Address Line | 4441 BEL AIRE DR
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City | LA CANADA
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State | CA
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Zip | 91011-3318
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number |
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License Number State |
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