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General NPI Number Information
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NPI Number | 1821090903
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Entity Type | Individual
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Provider Name | WAI HUNG EDMUND KWONG M.D
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Gender | Male
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Dates
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Enumeration Date | 06/02/2005
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 1 RIVERVIEW PLZ
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City | RED BANK
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State | NJ
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Zip | 07701-1864
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Country | US
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Telephone | 732-530-2468
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Fax | 732-345-2010
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Provider Business Mailing Address
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Address Line | 1 RIVERVIEW PLZ
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City | RED BANK
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State | NJ
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Zip | 07701-1864
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Country | US
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Telephone | 732-530-2468
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Fax | 732-345-2010
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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 | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 25MA04204700
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License Number State | NJ
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