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NPI 1942207576

NPI 1942207576 : SHE LING WONG M.D. : BOCA RATON, FL

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General NPI Number Information
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    NPI Number           |    1942207576
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    Entity Type          |    Individual 
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    Provider Name        |    SHE LING WONG M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/28/2005
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    Last Update Date     |    08/13/2025
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Provider Practice Location Address
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    Address Line         |    1558 NW 48TH PL 
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    City                 |    BOCA RATON
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    State                |    FL
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    Zip                  |    33431-3339
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    Country              |    US
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    Telephone            |    956-459-0933
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    Fax                  |    561-609-2100
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Provider Business Mailing Address
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    Address Line         |    1558 NW 48TH PL 
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    City                 |    BOCA RATON
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    State                |    FL
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    Zip                  |    33431-3339
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    Country              |    US
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    Telephone            |    956-459-0933
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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        |    208600000X
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    Taxonomy Name        |    Surgery Physician
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    License Number       |    J7252
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    License Number State |    TX
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