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General NPI Number Information
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NPI Number | 1891082921
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Entity Type | Individual
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Provider Name | AILEEN ANN WONG AU.D.
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Gender | Female
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Dates
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Enumeration Date | 07/10/2011
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Last Update Date | 12/18/2024
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Provider Practice Location Address
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Address Line | 7355 S HOUGHTON RD STE 105
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City | TUCSON
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State | AZ
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Zip | 85747-9380
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Country | US
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Telephone | 520-742-2845
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Fax | 520-742-3881
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Provider Business Mailing Address
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Address Line | 7574 N LA CHOLLA BLVD
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City | TUCSON
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State | AZ
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Zip | 85741-2307
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Country | US
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Telephone | 520-742-2845
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Fax | 520-742-3881
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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 | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | DA7278
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License Number State | AZ
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