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General NPI Number Information
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NPI Number | 1902641053
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Entity Type | Individual
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Provider Name | LINDSAY WEN LEE WONG
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Gender | Female
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Dates
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Enumeration Date | 06/29/2024
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 215 S LOOP 336 W STE 100
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City | CONROE
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State | TX
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Zip | 77304-3362
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Country | US
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Telephone | 936-270-1294
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Fax |
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Provider Business Mailing Address
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Address Line | 3806 BROWNING ST
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City | HOUSTON
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State | TX
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Zip | 77005-2040
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Country | US
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Telephone | 281-900-4521
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 4784
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 42044
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License Number State | TX
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