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General NPI Number Information
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NPI Number | 1902935547
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Entity Type | Individual
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Provider Name | MARGARITA MARIA WONG PA
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Gender | Female
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Dates
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Enumeration Date | 03/02/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 8990 N. WASHINGTON
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City | THORNTON
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State | CO
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Zip | 80229-4537
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Country | US
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Telephone | 720-929-1655
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Fax | 720-206-0434
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Provider Business Mailing Address
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Address Line | 1345 PLAZA COURT NORTH #1A
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City | LAFAYETTE
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State | CO
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Zip | 80026-2832
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Country | US
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Telephone | 303-665-3036
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Fax | 720-206-0434
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 2261
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License Number State | CO
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