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General NPI Number Information
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NPI Number | 1902237068
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Entity Type | Organization
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Legal Business Name | RODNEY Z. WONG, M.D., INC.
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Dates
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Enumeration Date | 11/27/2013
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Last Update Date | 11/27/2013
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Provider Practice Location Address
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Address Line | 515 SOUTH DR #16
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94040-4204
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Country | US
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Telephone | 650-967-7249
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Fax | 650-967-7350
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Provider Business Mailing Address
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Address Line | 515 SOUTH DR #16
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94040-4204
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Country | US
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Telephone | 650-967-7249
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Fax | 650-967-7350
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Authorized Official
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Title or Position | PRESIDENT
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Name | RODNEY Z. WONG
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Credential | M.D.
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Telephone | 650-967-7249
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | G56838
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License Number State | CA
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