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General NPI Number Information
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NPI Number | 1881612901
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Entity Type | Individual
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Provider Name | VIRGINIA L WONG MD
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Gender | Female
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 12/30/2020
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Provider Practice Location Address
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Address Line | 27100 CHARDON RD HARRINGTON HEART & VASCULAR INST
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City | RICHMOND HTS
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State | OH
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Zip | 44143-1116
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Country | US
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Telephone | 440-585-7035
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Fax | 440-585-7032
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Provider Business Mailing Address
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Address Line | 24701 EUCLID AVE THIRD FLOOR BILLING SERVICES
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City | EUCLID
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State | OH
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Zip | 44117-1714
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Country | US
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Telephone | 440-585-7035
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Fax | 440-585-7032
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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 | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 35-081035
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License Number State | OH
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